Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $473.71 / $1,749.77	Facility		$100.00	$473.71	$1,749.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $97.82 / $306.08	Professional		$62.82	$97.82	$306.08
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 $70.84 / $129.06 / $248.61	Professional		$70.84	$129.06	$248.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $163.44 / $324.39	Professional		$77.62	$163.44	$324.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $201.38 / $414.75	Professional		$92.41	$201.38	$414.75
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 $176.83 / $226.68 / $452.89	Professional		$176.83	$226.68	$452.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $115.27 / $180.43	Professional		$63.32	$115.27	$180.43