Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $816.21 / $6,067.00	Facility		$100.00	$816.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $179.97 / $457.43	Professional		$95.84	$179.97	$457.43
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 $141.43 / $259.10 / $483.31	Professional		$141.43	$259.10	$483.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $358.86 / $744.62	Professional		$170.20	$358.86	$744.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $378.66 / $915.49	Professional		$152.32	$378.66	$915.49
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 $321.10 / $510.34 / $914.75	Professional		$321.10	$510.34	$914.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $200.28 / $323.00	Professional		$101.37	$200.28	$323.00