Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $568.86 / $8,965.00	Facility		$100.00	$568.86	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $142.18 / $568.86	Professional		$121.10	$142.18	$568.86
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 $186.91 / $280.87 / $415.34	Professional		$186.91	$280.87	$415.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $342.50 / $468.45	Professional		$218.78	$342.50	$468.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $345.99 / $574.52	Professional		$174.41	$345.99	$574.52
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 $211.06 / $259.76 / $523.80	Professional		$211.06	$259.76	$523.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $120.82 / $132.90 / $169.15	Professional		$120.82	$132.90	$169.15