Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $153.40 / $3,900.98	Facility		$101.68	$153.40	$3,900.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $101.69 / $153.41	Professional		$62.08	$101.69	$153.41
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 $105.90 / $169.84 / $254.02	Professional		$105.90	$169.84	$254.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.64 / $250.00 / $385.31	Professional		$176.64	$250.00	$385.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $232.64 / $437.73	Professional		$134.36	$232.64	$437.73
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 $161.24 / $234.72 / $506.44	Professional		$161.24	$234.72	$506.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $109.65 / $157.82	Professional		$74.92	$109.65	$157.82