Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.40 / $1,259.97 / $5,195.47	Facility		$203.40	$1,259.97	$5,195.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $290.79 / $630.99	Professional		$156.87	$290.79	$630.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.13 / $309.14 / $599.71	Professional		$183.13	$309.14	$599.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.09 / $449.80 / $994.95	Professional		$203.09	$449.80	$994.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $471.93 / $1,049.22	Professional		$191.56	$471.93	$1,049.22
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.52 / $566.01 / $1,054.55	Professional		$441.52	$566.01	$1,054.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $130.31 / $257.29 / $385.94	Professional		$130.31	$257.29	$385.94