Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $796.90 / $6,067.00	Facility		$100.00	$796.90	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.74 / $253.82 / $316.51	Professional		$226.74	$253.82	$316.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.99 / $359.79 / $552.00	Professional		$207.99	$359.79	$552.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $242.82 / $242.82	Facility		$242.82	$242.82	$242.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $402.80 / $598.30	Professional		$264.33	$402.80	$598.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $374.58 / $734.90	Professional		$238.10	$374.58	$734.90
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 $242.44 / $345.18 / $631.16	Professional		$242.44	$345.18	$631.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $170.44 / $187.48 / $238.62	Professional		$170.44	$187.48	$238.62