Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,208.86 / $8,688.95	Facility		$100.00	$1,208.86	$8,688.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.26 / $204.49 / $378.94	Professional		$179.26	$204.49	$378.94
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 $200.26 / $308.67 / $478.79	Professional		$200.26	$308.67	$478.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $300.39 / $463.00 / $718.18	Professional	50	$300.39	$463.00	$718.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.80 / $427.93 / $703.79	Professional		$233.80	$427.93	$703.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.22 / $449.77 / $883.48	Professional		$212.22	$449.77	$883.48
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 $341.16 / $496.78 / $846.71	Professional		$341.16	$496.78	$846.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $149.28 / $225.09 / $369.93	Professional		$149.28	$225.09	$369.93