Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $431.98 / $2,331.21	Facility		$100.00	$431.98	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $209.18 / $431.98	Professional		$112.90	$209.18	$431.98
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 $120.20 / $220.84 / $321.45	Professional		$120.20	$220.84	$321.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $338.98 / $585.79	Professional		$179.04	$338.98	$585.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $339.91 / $650.34	Professional		$154.41	$339.91	$650.34
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 $261.48 / $346.74 / $648.96	Professional		$261.48	$346.74	$648.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $156.66 / $251.18	Professional		$99.39	$156.66	$251.18