Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $515.16 / $2,331.21	Facility		$100.00	$515.16	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $108.13 / $161.55	Professional		$67.84	$108.13	$161.55
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 $71.81 / $137.80 / $254.27	Professional		$71.81	$137.80	$254.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $188.24 / $408.93	Professional		$96.13	$188.24	$408.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $214.10 / $442.82	Professional		$93.67	$214.10	$442.82
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 $184.97 / $229.27 / $490.59	Professional		$184.97	$229.27	$490.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $124.43 / $198.15	Professional		$64.42	$124.43	$198.15