Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $665.55 / $6,067.00	Facility		$100.00	$665.55	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.27 / $161.62 / $274.33	Professional		$145.27	$161.62	$274.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.02 / $299.68 / $447.02	Professional		$174.02	$299.68	$447.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $203.62 / $203.62	Facility		$203.62	$203.62	$203.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.17 / $335.47 / $501.59	Professional		$221.17	$335.47	$501.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $199.22 / $313.41 / $614.89	Professional		$199.22	$313.41	$614.89
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 $200.46 / $279.73 / $529.13	Professional		$200.46	$279.73	$529.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $157.18 / $200.05	Professional		$142.88	$157.18	$200.05