Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $358.96 / $2,331.21	Facility		$100.00	$358.96	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $165.91 / $249.94	Professional		$82.28	$165.91	$249.94
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 $100.62 / $188.48 / $355.58	Professional		$100.62	$188.48	$355.58
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 $114.75 / $253.38 / $593.99	Professional		$114.75	$253.38	$593.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $247.81 / $628.87	Professional		$103.00	$247.81	$628.87
United Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $3,884.00 / $8,611.00	Facility		$864.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $292.19 / $534.26	Professional		$164.19	$292.19	$534.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $147.53 / $260.24	Professional		$72.01	$147.53	$260.24