Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.62 / $739.62 / $739.62	Facility		$739.62	$739.62	$739.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.38 / $303.37 / $739.62	Professional		$220.38	$303.37	$739.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,334.70 / $11,489.10 / $21,862.00	Facility		$10,334.70	$11,489.10	$21,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.58 / $414.72 / $604.91	Professional		$264.58	$414.72	$604.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104,953.00 / $111,667.00 / $130,961.00	Facility		$104,953.00	$111,667.00	$130,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.02 / $474.74 / $648.69	Professional		$294.02	$474.74	$648.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $244.77 / $485.57 / $806.30	Professional		$244.77	$485.57	$806.30
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.97 / $438.03 / $650.04	Professional		$290.97	$438.03	$650.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $164.44 / $198.29 / $299.47	Professional		$164.44	$198.29	$299.47