Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $216.66 / $2,331.21	Facility		$100.00	$216.66	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $92.53 / $216.66	Professional		$46.72	$92.53	$216.66
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 $59.59 / $108.02 / $160.72	Professional		$59.59	$108.02	$160.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $161.44 / $308.10	Professional		$86.01	$161.44	$308.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $179.46 / $374.89	Professional		$77.20	$179.46	$374.89
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 $148.72 / $189.07 / $381.26	Professional		$148.72	$189.07	$381.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $63.98 / $107.71	Professional		$45.70	$63.98	$107.71