Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.75 / $198.02 / $8,965.00	Facility		$73.75	$198.02	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $46.18 / $198.02	Professional		$38.76	$46.18	$198.02
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 $60.21 / $87.88 / $140.21	Professional		$60.21	$87.88	$140.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $107.37 / $142.69	Professional		$68.02	$107.37	$142.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $116.81 / $193.96	Professional		$58.88	$116.81	$193.96
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 $75.34 / $104.33 / $187.00	Professional		$75.34	$104.33	$187.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $50.21 / $75.83	Professional		$42.99	$50.21	$75.83