Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $109.34 / $189.04	Facility		$39.29	$109.34	$189.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $47.22 / $109.34	Professional		$28.85	$47.22	$109.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $50.68 / $94.63	Professional		$29.57	$50.68	$94.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $76.56 / $169.40	Professional		$42.85	$76.56	$169.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $79.70 / $193.15	Professional		$32.06	$79.70	$193.15
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $91.26 / $163.89	Professional		$73.70	$91.26	$163.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $23.07 / $39.72 / $60.20	Professional		$23.07	$39.72	$60.20