Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.74 / $329.03 / $329.03	Facility		$139.74	$329.03	$329.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $72.55 / $187.38	Professional		$53.59	$72.55	$187.38
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 $96.78 / $142.90 / $208.00	Professional		$96.78	$142.90	$208.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $181.51 / $268.20	Professional		$105.57	$181.51	$268.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $200.54 / $333.00	Professional		$101.09	$200.54	$333.00
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 $123.67 / $154.66 / $272.20	Professional		$123.67	$154.66	$272.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $122.10 / $178.51	Professional		$101.75	$122.10	$178.51