Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.55 / $601.64 / $6,067.00	Facility		$176.55	$601.64	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $298.43 / $691.92	Professional		$163.61	$298.43	$691.92
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 $180.54 / $302.81 / $517.42	Professional		$180.54	$302.81	$517.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $457.50 / $920.85	Professional		$234.90	$457.50	$920.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $498.71 / $1,056.08	Professional		$202.94	$498.71	$1,056.08
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $420.42 / $518.90 / $934.81	Professional		$420.42	$518.90	$934.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $238.89 / $343.76	Professional		$138.74	$238.89	$343.76