Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $408.33 / $9,859.00	Facility		$100.00	$408.33	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $161.44 / $577.36	Professional		$67.73	$161.44	$577.36
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 $107.64 / $187.54 / $414.53	Professional		$107.64	$187.54	$414.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $313.20 / $713.38	Professional		$133.02	$313.20	$713.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $292.29 / $785.21	Professional		$110.12	$292.29	$785.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.36 / $513.99 / $980.23	Professional		$305.36	$513.99	$980.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $195.95 / $883.18	Professional		$76.70	$195.95	$883.18