Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $902.81 / $8,162.24	Facility		$100.00	$902.81	$8,162.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $201.24 / $538.55	Professional		$145.47	$201.24	$538.55
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 $190.24 / $297.54 / $479.44	Professional		$190.24	$297.54	$479.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $407.99 / $686.20	Professional		$227.38	$407.99	$686.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $435.80 / $856.04	Professional		$202.94	$435.80	$856.04
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 $343.36 / $493.57 / $979.25	Professional		$343.36	$493.57	$979.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $215.09 / $334.33	Professional		$136.44	$215.09	$334.33