Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $375.36 / $2,331.21	Facility		$100.00	$375.36	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $88.38 / $247.43	Professional		$48.83	$88.38	$247.43
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 $53.37 / $95.71 / $176.33	Professional		$53.37	$95.71	$176.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $123.12 / $230.50	Professional		$60.60	$123.12	$230.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $150.28 / $294.16	Professional		$69.62	$150.28	$294.16
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 $108.33 / $153.29 / $331.09	Professional		$108.33	$153.29	$331.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $82.15 / $112.73	Professional		$47.72	$82.15	$112.73