Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $492.50 / $8,965.00	Facility		$100.00	$492.50	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $115.45 / $261.89	Professional		$54.08	$115.45	$261.89
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 $68.44 / $123.63 / $182.69	Professional		$68.44	$123.63	$182.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $196.66 / $391.94	Professional		$98.34	$196.66	$391.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $216.20 / $475.44	Professional		$87.76	$216.20	$475.44
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 $193.75 / $299.74 / $804.34	Professional		$193.75	$299.74	$804.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $102.85 / $159.53	Professional		$57.76	$102.85	$159.53