Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $791.11 / $8,965.00	Facility		$100.00	$791.11	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $188.67 / $283.43	Professional		$123.08	$188.67	$283.43
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 $148.47 / $267.06 / $374.44	Professional		$148.47	$267.06	$374.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $404.15 / $656.49	Professional		$221.90	$404.15	$656.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $190.29 / $381.89 / $746.35	Professional		$190.29	$381.89	$746.35
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 $296.89 / $383.90 / $743.24	Professional		$296.89	$383.90	$743.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $193.20 / $282.94	Professional		$117.79	$193.20	$282.94