Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $823.18 / $2,331.21	Facility		$100.00	$823.18	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.89 / $234.09 / $268.08	Professional		$207.89	$234.09	$268.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $4,908.78 / $9,334.21	Facility		$1,497.60	$4,908.78	$9,334.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.78 / $363.89 / $584.79	Professional		$203.78	$363.89	$584.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $418.37 / $629.51	Professional		$270.00	$418.37	$629.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $233.29 / $403.54 / $720.05	Professional		$233.29	$403.54	$720.05
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $324.68 / $789.40	Professional		$239.43	$324.68	$789.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $199.82 / $293.74	Professional		$166.52	$199.82	$293.74