Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $253.89 / $9,859.00	Facility		$100.00	$253.89	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $74.06 / $80.66	Professional		$39.89	$74.06	$80.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,159.71 / $2,937.55 / $5,814.00	Facility		$1,159.71	$2,937.55	$5,814.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.94 / $127.81 / $203.28	Professional		$70.94	$127.81	$203.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $167.50 / $248.43	Professional		$123.65	$167.50	$248.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $142.15 / $245.18	Professional		$74.45	$142.15	$245.18
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 $93.30 / $126.60 / $264.81	Professional		$93.30	$126.60	$264.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $58.58 / $74.55	Professional		$53.25	$58.58	$74.55