Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $825.15 / $2,331.21	Facility		$100.00	$825.15	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $402.82 / $505.76	Professional		$218.53	$402.82	$505.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.62 / $425.96 / $753.01	Professional		$245.62	$425.96	$753.01
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 $292.08 / $560.91 / $1,161.77	Professional		$292.08	$560.91	$1,161.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.06 / $536.91 / $1,248.40	Professional		$251.06	$536.91	$1,248.40
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 $459.05 / $649.37 / $1,177.86	Professional		$459.05	$649.37	$1,177.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $230.92 / $377.05	Professional		$164.94	$230.92	$377.05