Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $504.48 / $8,965.00	Facility		$100.00	$504.48	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $116.03 / $224.15	Professional		$59.88	$116.03	$224.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $103.22 / $188.17	Professional		$59.84	$103.22	$188.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $181.51 / $314.87	Professional		$101.19	$181.51	$314.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $164.20 / $345.16	Professional		$69.62	$164.20	$345.16
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 $134.50 / $198.46 / $342.79	Professional		$134.50	$198.46	$342.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $78.04 / $140.44	Professional		$47.59	$78.04	$140.44