Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $348.97 / $2,331.21	Facility		$100.00	$348.97	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $132.88 / $177.85	Professional		$83.70	$132.88	$177.85
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 $92.51 / $174.35 / $326.57	Professional		$92.51	$174.35	$326.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $221.26 / $455.49	Professional		$106.88	$221.26	$455.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $270.88 / $560.27	Professional		$120.67	$270.88	$560.27
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 $152.15 / $263.83 / $658.44	Professional		$152.15	$263.83	$658.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $133.63 / $206.93	Professional		$84.13	$133.63	$206.93