Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $783.82 / $8,965.00	Facility		$100.00	$783.82	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.74 / $190.14 / $420.63	Professional		$93.74	$190.14	$420.63
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 $121.21 / $223.25 / $327.27	Professional		$121.21	$223.25	$327.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.02 / $375.12 / $754.76	Professional		$178.02	$375.12	$754.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $390.19 / $905.21	Professional		$156.94	$390.19	$905.21
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 $305.63 / $526.38 / $1,115.97	Professional		$305.63	$526.38	$1,115.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $131.49 / $246.60	Professional		$93.92	$131.49	$246.60