Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $317.02 / $2,331.21	Facility		$100.00	$317.02	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $179.70 / $225.82	Professional		$77.65	$179.70	$225.82
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 $85.85 / $162.66 / $319.76	Professional		$85.85	$162.66	$319.76
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 $101.96 / $219.94 / $526.35	Professional		$101.96	$219.94	$526.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $216.53 / $554.04	Professional		$88.52	$216.53	$554.04
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 $179.13 / $265.69 / $593.48	Professional		$179.13	$265.69	$593.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $80.06 / $156.61	Professional		$57.19	$80.06	$156.61