Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.15 / $100.00 / $6,067.00	Facility		$95.15	$100.00	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $95.15 / $190.15	Professional		$63.33	$95.15	$190.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $86.73 / $135.34	Professional		$50.50	$86.73	$135.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $89.90	Facility		$89.90	$89.90	$89.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $144.31 / $276.61	Professional		$76.92	$144.31	$276.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $131.91 / $289.31	Professional		$61.33	$131.91	$289.31
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 $120.12 / $195.07 / $321.04	Professional		$120.12	$195.07	$321.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $88.26 / $134.49	Professional		$47.67	$88.26	$134.49