Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $442.30 / $2,331.21	Facility		$100.00	$442.30	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $117.45 / $296.98	Professional		$85.28	$117.45	$296.98
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 $102.60 / $198.52 / $439.48	Professional		$102.60	$198.52	$439.48
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 $122.62 / $258.63 / $743.15	Professional		$122.62	$258.63	$743.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $290.95 / $783.77	Professional		$105.41	$290.95	$783.77
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 $148.41 / $237.06 / $539.16	Professional		$148.41	$237.06	$539.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $115.62 / $183.32	Professional		$74.52	$115.62	$183.32