Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $170.92 / $8,965.00	Facility		$100.00	$170.92	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $41.73 / $50.89	Professional		$34.39	$41.73	$50.89
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 $43.02 / $65.56 / $108.15	Professional		$43.02	$65.56	$108.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $76.28 / $113.20	Professional		$46.50	$76.28	$113.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $97.07 / $175.23	Professional		$49.25	$97.07	$175.23
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 $62.18 / $91.11 / $158.06	Professional		$62.18	$91.11	$158.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $42.21 / $63.75	Professional		$36.14	$42.21	$63.75