Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $295.30 / $2,331.21	Facility		$100.00	$295.30	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $166.72 / $295.30	Professional		$71.48	$166.72	$295.30
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 $79.78 / $138.03 / $204.58	Professional		$79.78	$138.03	$204.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.80 / $207.05 / $305.64	Professional	50	$140.80	$207.05	$305.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $320.30 / $682.63	Professional		$108.27	$320.30	$682.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $268.70 / $757.32	Professional		$97.89	$268.70	$757.32
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 $259.32 / $401.90 / $778.08	Professional		$259.32	$401.90	$778.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $142.71 / $256.33	Professional		$61.08	$142.71	$256.33