Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $378.28 / $2,331.21	Facility		$100.00	$378.28	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $99.20 / $378.28	Professional		$70.16	$99.20	$378.28
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 $109.72 / $156.75 / $240.99	Professional		$109.72	$156.75	$240.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.55 / $258.08 / $374.47	Professional		$137.55	$258.08	$374.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $221.64 / $433.16	Professional		$113.50	$221.64	$433.16
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 $172.50 / $221.13 / $428.11	Professional		$172.50	$221.13	$428.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $99.16 / $119.44	Professional		$70.83	$99.16	$119.44