Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.20 / $692.97 / $2,780.64	Facility		$284.20	$692.97	$2,780.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $335.86 / $692.97	Professional		$187.75	$335.86	$692.97
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 $208.14 / $346.24 / $579.03	Professional		$208.14	$346.24	$579.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.99 / $518.33 / $1,024.76	Professional		$259.99	$518.33	$1,024.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $232.06 / $562.20 / $1,181.79	Professional		$232.06	$562.20	$1,181.79
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 $471.03 / $527.91 / $1,047.34	Professional		$471.03	$527.91	$1,047.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $274.63 / $384.48	Professional		$159.90	$274.63	$384.48