Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $628.39 / $8,965.00	Facility		$100.00	$628.39	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $149.97 / $217.15	Professional		$89.43	$149.97	$217.15
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 $110.10 / $201.05 / $295.12	Professional		$110.10	$201.05	$295.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $188.98 / $301.57 / $442.68	Professional	50	$188.98	$301.57	$442.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.71 / $299.02 / $514.79	Professional		$160.71	$299.02	$514.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $311.69 / $634.34	Professional		$141.76	$311.69	$634.34
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 $246.49 / $346.09 / $629.98	Professional		$246.49	$346.09	$629.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $146.18 / $204.65	Professional		$87.46	$146.18	$204.65