Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $263.98 / $2,331.21	Facility		$100.00	$263.98	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $69.59 / $161.07	Professional		$30.71	$69.59	$161.07
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 $36.54 / $73.73 / $151.60	Professional		$36.54	$73.73	$151.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $54.82 / $110.60 / $227.40	Professional	50	$54.82	$110.60	$227.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $95.58 / $220.85	Professional		$42.44	$95.58	$220.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $115.26 / $264.04	Professional		$47.67	$115.26	$264.04
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 $83.84 / $139.59 / $306.66	Professional		$83.84	$139.59	$306.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $55.65 / $95.91	Professional		$31.04	$55.65	$95.91