Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $619.16 / $6,067.00	Facility		$100.00	$619.16	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $120.60 / $183.75	Professional		$23.41	$120.60	$183.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.39 / $5,186.00 / $8,238.00	Facility		$4,667.39	$5,186.00	$8,238.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $79.58 / $272.14	Professional		$41.11	$79.58	$272.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $137.19 / $449.78	Professional		$68.19	$137.19	$449.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $154.41 / $476.62	Professional		$52.57	$154.41	$476.62
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 $221.85 / $290.24 / $614.26	Professional		$221.85	$290.24	$614.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $38.11 / $156.47	Professional		$27.22	$38.11	$156.47