Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,047.57 / $6,067.00	Facility		$100.00	$1,047.57	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $267.85 / $498.90	Professional		$130.96	$267.85	$498.90
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 $158.94 / $264.58 / $493.57	Professional		$158.94	$264.58	$493.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $385.62 / $748.27	Professional		$183.44	$385.62	$748.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $406.99 / $934.93	Professional		$163.71	$406.99	$934.93
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 $359.04 / $521.00 / $928.51	Professional		$359.04	$521.00	$928.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $214.57 / $386.93	Professional		$113.60	$214.57	$386.93