Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $558.29 / $9,859.00	Facility		$100.00	$558.29	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $151.16 / $151.16	Professional		$84.83	$151.16	$151.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $245.44 / $392.41	Professional		$136.25	$245.44	$392.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.82 / $308.39 / $380.77	Professional		$195.82	$308.39	$380.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $143.74 / $274.41 / $473.30	Professional		$143.74	$274.41	$473.30
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 $174.77 / $260.10 / $498.94	Professional		$174.77	$260.10	$498.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $126.07 / $179.77	Professional		$105.06	$126.07	$179.77