Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $355.62 / $8,965.00	Facility		$100.00	$355.62	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $84.75 / $355.62	Professional		$67.19	$84.75	$355.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $4,867.14 / $8,485.35	Facility		$1,497.60	$4,867.14	$8,485.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $139.22 / $205.47	Professional		$95.54	$139.22	$205.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $174.86 / $270.00	Professional		$107.80	$174.86	$270.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $171.16 / $284.20	Professional		$86.28	$171.16	$284.20
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 $107.17 / $156.15 / $265.99	Professional		$107.17	$156.15	$265.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $66.95 / $85.22	Professional		$60.87	$66.95	$85.22