Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $179.10 / $179.10	Professional		$109.67	$179.10	$179.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $10,271.53 / $17,907.33	Facility		$3,669.00	$10,271.53	$17,907.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $300.13 / $478.38	Professional		$166.26	$300.13	$478.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.43 / $378.04 / $466.75	Professional		$239.43	$378.04	$466.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $175.22 / $334.52 / $576.96	Professional		$175.22	$334.52	$576.96
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 $215.19 / $288.45 / $624.85	Professional		$215.19	$288.45	$624.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $137.90 / $175.50	Professional		$125.36	$137.90	$175.50