Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.08 / $8,965.00	Facility		$100.00	$131.08	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $31.52 / $63.45	Professional		$26.51	$31.52	$63.45
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 $42.14 / $62.14 / $90.82	Professional		$42.14	$62.14	$90.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $76.38 / $145.58	Professional		$47.73	$76.38	$145.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $75.66 / $125.64	Professional		$38.14	$75.66	$125.64
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 $47.85 / $61.35 / $118.76	Professional		$47.85	$61.35	$118.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $32.72 / $51.65	Professional		$27.27	$32.72	$51.65