Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.23 / $212.76 / $1,749.77	Facility		$84.23	$212.76	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $81.75 / $233.87	Professional		$36.94	$81.75	$233.87
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 $52.08 / $101.90 / $204.13	Professional		$52.08	$101.90	$204.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $130.77 / $288.58	Professional		$59.95	$130.77	$288.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $164.26 / $355.49	Professional		$67.93	$164.26	$355.49
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 $108.48 / $168.64 / $391.98	Professional		$108.48	$168.64	$391.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $80.53 / $123.23	Professional		$46.77	$80.53	$123.23