Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $114.13 / $217.96	Professional		$83.69	$114.13	$217.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $162.41 / $291.52	Professional		$90.57	$162.41	$291.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $135.85 / $243.63 / $437.29	Professional	50	$135.85	$243.63	$437.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $203.32 / $394.80	Professional		$103.02	$203.32	$394.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $254.62 / $494.78	Professional		$118.13	$254.62	$494.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $264.48 / $552.14	Professional		$188.86	$264.48	$552.14
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $128.75 / $186.75	Professional		$81.80	$128.75	$186.75