Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $288.64 / $2,331.21	Facility		$100.00	$288.64	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $113.39 / $146.41	Professional		$62.98	$113.39	$146.41
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 $66.66 / $132.52 / $267.94	Professional		$66.66	$132.52	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $164.41 / $368.63	Professional		$75.92	$164.41	$368.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $210.16 / $446.97	Professional		$86.91	$210.16	$446.97
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 $139.75 / $214.68 / $545.66	Professional		$139.75	$214.68	$545.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $108.01 / $171.54	Professional		$62.73	$108.01	$171.54