Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $642.97 / $9,859.00	Facility		$100.00	$642.97	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $197.61 / $254.86	Professional		$153.78	$197.61	$254.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.91 / $287.43 / $442.98	Professional		$166.91	$287.43	$442.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $195.23	Facility		$195.23	$195.23	$195.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.61 / $323.64 / $478.86	Professional		$216.61	$323.64	$478.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $191.07 / $300.58 / $589.74	Professional		$191.07	$300.58	$589.74
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 $193.96 / $267.06 / $505.16	Professional		$193.96	$267.06	$505.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $150.07 / $191.00	Professional		$136.43	$150.07	$191.00