Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $274.99 / $2,331.21	Facility		$100.00	$274.99	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $112.88 / $261.58	Professional		$62.64	$112.88	$261.58
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 $72.13 / $142.28 / $285.27	Professional		$72.13	$142.28	$285.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $177.27 / $394.03	Professional		$83.30	$177.27	$394.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $227.49 / $481.28	Professional		$94.09	$227.49	$481.28
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 $112.86 / $234.30 / $566.38	Professional		$112.86	$234.30	$566.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $107.89 / $177.72	Professional		$63.52	$107.89	$177.72