Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $241.99 / $2,331.21	Facility		$100.00	$241.99	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $101.29 / $267.73	Professional		$53.60	$101.29	$267.73
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 $57.90 / $115.81 / $245.26	Professional		$57.90	$115.81	$245.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $149.82 / $346.19	Professional		$66.86	$149.82	$346.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $182.61 / $423.06	Professional		$75.52	$182.61	$423.06
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 $115.20 / $197.84 / $502.88	Professional		$115.20	$197.84	$502.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $90.80 / $157.60	Professional		$52.73	$90.80	$157.60