Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $716.49 / $6,067.00	Facility		$100.00	$716.49	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $177.97 / $716.49	Professional		$151.02	$177.97	$716.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $348.69 / $516.75	Professional		$232.80	$348.69	$516.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $427.09 / $581.28	Professional		$270.00	$427.09	$581.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $430.48 / $714.82	Professional		$217.00	$430.48	$714.82
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.68 / $383.22 / $654.41	Professional		$263.68	$383.22	$654.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $165.94 / $211.19	Professional		$150.85	$165.94	$211.19