Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $409.25 / $2,331.21	Facility		$100.00	$409.25	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.35 / $119.99 / $175.38	Professional		$85.35	$119.99	$175.38
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 $109.01 / $183.84 / $304.67	Professional		$109.01	$183.84	$304.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $234.33 / $395.71	Professional		$125.45	$234.33	$395.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $287.48 / $506.23	Professional		$142.19	$287.48	$506.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $261.76 / $556.26	Professional		$180.34	$261.76	$556.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $125.12 / $150.72	Professional		$89.37	$125.12	$150.72