Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $395.46 / $2,331.21	Facility		$100.00	$395.46	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $212.70 / $277.81	Professional		$89.17	$212.70	$277.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $169.24 / $375.94	Professional		$88.45	$169.24	$375.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $270.36 / $625.41	Professional		$105.02	$270.36	$625.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $248.03 / $670.45	Professional		$87.31	$248.03	$670.45
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $338.54 / $749.45	Professional		$256.77	$338.54	$749.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $178.06 / $285.54	Professional		$62.33	$178.06	$285.54