Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $177.89 / $256.14	Facility		$73.26	$177.89	$256.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $62.04 / $177.89	Professional		$48.47	$62.04	$177.89
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 $54.01 / $82.89 / $146.05	Professional		$54.01	$82.89	$146.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $128.91 / $226.88	Professional		$79.88	$128.91	$226.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $130.56 / $265.16	Professional		$59.91	$130.56	$265.16
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 $96.60 / $136.00 / $291.99	Professional		$96.60	$136.00	$291.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $79.77 / $130.06	Professional		$49.19	$79.77	$130.06