Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $182.34 / $2,331.21	Facility		$100.00	$182.34	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $59.35 / $77.68	Professional		$41.47	$59.35	$77.68
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 $50.78 / $90.58 / $155.77	Professional		$50.78	$90.58	$155.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $116.12 / $203.62	Professional		$58.46	$116.12	$203.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $139.83 / $258.81	Professional		$66.23	$139.83	$258.81
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 $89.50 / $120.99 / $279.00	Professional		$89.50	$120.99	$279.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $57.57 / $75.42	Professional		$41.12	$57.57	$75.42