Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $638.36 / $2,331.21	Facility		$100.00	$638.36	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $188.88 / $638.36	Professional		$162.91	$188.88	$638.36
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 $193.35 / $385.01 / $940.68	Professional		$193.35	$385.01	$940.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.36 / $2,000.36 / $2,070.38	Facility		$2,000.36	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $504.65 / $1,576.52	Professional		$246.64	$504.65	$1,576.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $226.92 / $605.07 / $1,629.89	Professional		$226.92	$605.07	$1,629.89
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 $204.54 / $306.47 / $882.80	Professional		$204.54	$306.47	$882.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $162.28 / $206.54	Professional		$147.53	$162.28	$206.54