Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $214.79 / $2,331.21	Facility		$100.00	$214.79	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $86.53 / $237.74	Professional		$43.94	$86.53	$237.74
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 $47.07 / $96.10 / $215.47	Professional		$47.07	$96.10	$215.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.34 / $144.16 / $323.20	Professional	50	$70.34	$144.16	$323.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.83 / $131.51 / $310.07	Professional		$53.83	$131.51	$310.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $147.91 / $375.25	Professional		$61.17	$147.91	$375.25
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 $118.83 / $173.36 / $440.66	Professional		$118.83	$173.36	$440.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $74.36 / $138.15	Professional		$43.19	$74.36	$138.15