Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.80 / $563.80 / $8,965.00	Facility		$194.80	$563.80	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.38 / $136.24 / $345.21	Professional		$73.38	$136.24	$345.21
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 $70.70 / $125.54 / $207.07	Professional		$70.70	$125.54	$207.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $174.26 / $319.94	Professional		$95.08	$174.26	$319.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $190.91 / $344.07	Professional		$91.98	$190.91	$344.07
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 $139.66 / $191.27 / $411.80	Professional		$139.66	$191.27	$411.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $102.27 / $164.00	Professional		$64.97	$102.27	$164.00