Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $576.41 / $2,331.21	Facility		$100.00	$576.41	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.30 / $171.82 / $229.84	Professional		$169.30	$171.82	$229.84
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 $178.55 / $320.29 / $512.41	Professional		$178.55	$320.29	$512.41
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 $225.00 / $345.16 / $544.96	Professional		$225.00	$345.16	$544.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.41 / $353.59 / $630.91	Professional		$204.41	$353.59	$630.91
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 $185.50 / $274.29 / $578.92	Professional		$185.50	$274.29	$578.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $168.34 / $265.69	Professional		$140.28	$168.34	$265.69