Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $669.88 / $8,965.00	Facility		$100.00	$669.88	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $207.30 / $265.20	Professional		$159.18	$207.30	$265.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $298.24 / $457.58	Professional		$172.41	$298.24	$457.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $202.08	Facility		$202.08	$202.08	$202.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.66 / $337.32 / $527.16	Professional		$225.66	$337.32	$527.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $310.50 / $609.17	Professional		$197.37	$310.50	$609.17
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 $197.37 / $268.64 / $527.10	Professional		$197.37	$268.64	$527.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $142.34 / $170.81 / $269.58	Professional		$142.34	$170.81	$269.58