Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $530.64 / $8,965.00	Facility		$100.00	$530.64	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $95.85 / $153.40	Professional		$30.36	$95.85	$153.40
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 $53.57 / $109.33 / $218.73	Professional		$53.57	$109.33	$218.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $186.65 / $357.30	Professional		$90.74	$186.65	$357.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $165.89 / $390.87	Professional		$72.22	$165.89	$390.87
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 $171.72 / $249.18 / $466.30	Professional		$171.72	$249.18	$466.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $47.98 / $118.00	Professional		$34.27	$47.98	$118.00