Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $294.77 / $2,331.21	Facility		$100.00	$294.77	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $129.47 / $210.23	Professional		$64.04	$129.47	$210.23
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 $77.23 / $147.75 / $296.95	Professional		$77.23	$147.75	$296.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $211.56 / $491.14	Professional		$91.69	$211.56	$491.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $200.09 / $514.54	Professional		$78.45	$200.09	$514.54
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 $167.13 / $242.56 / $466.66	Professional		$167.13	$242.56	$466.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $95.63 / $166.45	Professional		$55.54	$95.63	$166.45