Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $185.02 / $8,965.00	Facility		$100.00	$185.02	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $50.79 / $50.79	Professional		$34.19	$50.79	$50.79
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 $49.06 / $89.66 / $141.59	Professional		$49.06	$89.66	$141.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $123.19 / $171.77	Professional		$84.88	$123.19	$171.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $103.52 / $184.44	Professional		$53.40	$103.52	$184.44
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 $63.38 / $77.97 / $181.58	Professional		$63.38	$77.97	$181.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $40.54 / $51.60	Professional		$36.86	$40.54	$51.60