Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $224.11 / $8,965.00	Facility		$100.00	$224.11	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $120.84 / $173.08	Professional		$111.40	$120.84	$173.08
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 $130.36 / $223.54 / $345.88	Professional		$130.36	$223.54	$345.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $1,306.21 / $1,351.93	Facility		$150.62	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.95 / $239.76 / $397.86	Professional		$174.95	$239.76	$397.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $244.83 / $460.60	Professional		$149.22	$244.83	$460.60
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 $152.96 / $213.56 / $385.50	Professional		$152.96	$213.56	$385.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $142.16 / $495.44	Professional		$101.55	$142.16	$495.44