Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $441.47 / $8,965.00	Facility		$100.00	$441.47	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.68 / $231.36 / $369.46	Professional		$126.68	$231.36	$369.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $218.79 / $318.48	Professional		$112.57	$218.79	$318.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $310.14 / $630.10	Professional		$159.40	$310.14	$630.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $319.97 / $842.22	Professional		$137.62	$319.97	$842.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,624.00 / $3,624.00 / $8,035.00	Facility		$3,624.00	$3,624.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $409.54 / $759.08	Professional		$262.37	$409.54	$759.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $177.30 / $286.06	Professional		$102.97	$177.30	$286.06