Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $391.14 / $2,331.21	Facility		$100.00	$391.14	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $195.56 / $282.45	Professional		$106.53	$195.56	$282.45
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 $128.28 / $217.76 / $396.55	Professional		$128.28	$217.76	$396.55
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 $146.16 / $297.83 / $646.16	Professional		$146.16	$297.83	$646.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $284.45 / $687.09	Professional		$128.35	$284.45	$687.09
United Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $4,314.00 / $9,565.00	Facility		$691.00	$4,314.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.12 / $310.23 / $586.80	Professional		$226.12	$310.23	$586.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $115.40 / $193.86	Professional		$82.43	$115.40	$193.86