Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $713.18 / $2,331.21	Facility		$100.00	$713.18	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.59 / $234.74 / $289.30	Professional		$194.59	$234.74	$289.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $4,516.99 / $7,874.90	Facility		$1,497.60	$4,516.99	$7,874.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.84 / $349.16 / $510.01	Professional		$201.84	$349.16	$510.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $235.62	Facility		$235.62	$235.62	$235.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.49 / $368.81 / $568.05	Professional		$251.49	$368.81	$568.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $231.07 / $379.09 / $713.20	Professional		$231.07	$379.09	$713.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.34 / $307.72 / $615.19	Professional		$230.34	$307.72	$615.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $176.70 / $224.90	Professional		$160.63	$176.70	$224.90