Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $268.45 / $2,331.21	Facility		$100.00	$268.45	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $119.30 / $264.97	Professional		$63.04	$119.30	$264.97
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 $69.22 / $136.55 / $281.64	Professional		$69.22	$136.55	$281.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $173.03 / $383.47	Professional		$79.90	$173.03	$383.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $218.30 / $469.85	Professional		$90.29	$218.30	$469.85
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 $140.69 / $228.12 / $551.74	Professional		$140.69	$228.12	$551.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $106.80 / $173.08	Professional		$62.03	$106.80	$173.08