Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $184.57 / $2,331.21	Facility		$100.00	$184.57	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $70.52 / $176.09	Professional		$28.85	$70.52	$176.09
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 $35.90 / $79.34 / $174.10	Professional		$35.90	$79.34	$174.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.85 / $119.02 / $261.14	Professional	50	$53.85	$119.02	$261.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $110.73 / $266.74	Professional		$40.86	$110.73	$266.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $125.98 / $322.23	Professional		$46.83	$125.98	$322.23
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 $86.33 / $161.04 / $376.69	Professional		$86.33	$161.04	$376.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $57.63 / $118.08	Professional		$30.47	$57.63	$118.08