Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $727.40 / $8,965.00	Facility		$100.00	$727.40	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.37 / $186.64 / $727.40	Professional		$163.37	$186.64	$727.40
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 $240.72 / $375.30 / $546.30	Professional		$240.72	$375.30	$546.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.14 / $445.74 / $638.48	Professional		$276.14	$445.74	$638.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $230.33 / $456.93 / $758.73	Professional		$230.33	$456.93	$758.73
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 $232.59 / $357.44 / $692.00	Professional		$232.59	$357.44	$692.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $194.29 / $306.66	Professional		$161.91	$194.29	$306.66