Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $688.40 / $2,331.21	Facility		$100.00	$688.40	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $219.14 / $273.29	Professional		$172.69	$219.14	$273.29
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 $185.35 / $320.62 / $492.55	Professional		$185.35	$320.62	$492.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $217.92	Facility		$217.92	$217.92	$217.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.32 / $354.43 / $523.33	Professional		$236.32	$354.43	$523.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $333.80 / $654.89	Professional		$212.18	$333.80	$654.89
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 $209.56 / $283.20 / $552.05	Professional		$209.56	$283.20	$552.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $163.33 / $207.87	Professional		$148.47	$163.33	$207.87