Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $400.12 / $2,331.21	Facility		$100.00	$400.12	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $200.94 / $268.83	Professional		$107.79	$200.94	$268.83
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 $125.58 / $219.13 / $405.55	Professional		$125.58	$219.13	$405.55
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 $145.68 / $300.08 / $658.60	Professional		$145.68	$300.08	$658.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $287.57 / $702.67	Professional		$129.15	$287.57	$702.67
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 $214.01 / $329.31 / $767.31	Professional		$214.01	$329.31	$767.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $116.48 / $198.96	Professional		$83.20	$116.48	$198.96