Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $877.12 / $6,067.00	Facility		$100.00	$877.12	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.89 / $192.84 / $553.77	Professional		$115.89	$192.84	$553.77
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 $160.19 / $266.66 / $487.54	Professional		$160.19	$266.66	$487.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.37 / $380.90 / $764.08	Professional		$189.37	$380.90	$764.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $417.86 / $923.48	Professional		$169.61	$417.86	$923.48
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 $345.06 / $490.33 / $949.27	Professional		$345.06	$490.33	$949.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $114.29 / $196.79 / $312.23	Professional		$114.29	$196.79	$312.23