Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $600.89 / $9,859.00	Facility		$100.00	$600.89	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $146.78 / $177.70	Professional		$81.37	$146.78	$177.70
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 $126.01 / $226.35 / $360.05	Professional		$126.01	$226.35	$360.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.25 / $319.64 / $437.17	Professional		$218.25	$319.64	$437.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $263.25 / $469.04	Professional		$135.78	$263.25	$469.04
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.92 / $241.34 / $466.30	Professional		$167.92	$241.34	$466.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $131.44 / $180.93	Professional		$103.67	$131.44	$180.93