Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $336.04 / $1,974.43	Facility		$100.00	$336.04	$1,974.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $111.71 / $228.55	Professional		$59.50	$111.71	$228.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $88.77 / $153.83	Professional		$45.63	$88.77	$153.83
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 $57.15 / $125.30 / $253.32	Professional		$57.15	$125.30	$253.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $116.25 / $277.54	Professional		$52.95	$116.25	$277.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $144.30 / $247.76	Professional		$103.07	$144.30	$247.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $76.41 / $121.46	Professional		$39.08	$76.41	$121.46