Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $794.54 / $9,859.00	Facility		$100.00	$794.54	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.96 / $231.85 / $231.85	Professional		$141.96	$231.85	$231.85
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 $218.14 / $381.72 / $577.49	Professional		$218.14	$381.72	$577.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $554.96 / $762.62	Professional		$351.25	$554.96	$762.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $217.78 / $422.22 / $752.28	Professional		$217.78	$422.22	$752.28
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.69 / $371.14 / $803.94	Professional		$288.69	$371.14	$803.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $165.07 / $181.58 / $231.10	Professional		$165.07	$181.58	$231.10