Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $603.45 / $2,331.21	Facility		$100.00	$603.45	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $161.44 / $247.05	Professional		$117.81	$161.44	$247.05
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 $110.10 / $182.13 / $264.38	Professional		$110.10	$182.13	$264.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $1,306.21 / $1,351.93	Facility		$193.14	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $243.16 / $447.95	Professional		$155.47	$243.16	$447.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $250.67 / $461.58	Professional		$137.03	$250.67	$461.58
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.51 / $279.45 / $486.12	Professional		$193.51	$279.45	$486.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $145.78 / $212.41	Professional		$95.54	$145.78	$212.41