Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $562.12 / $9,859.00	Facility		$100.00	$562.12	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $165.68 / $165.68	Professional		$89.59	$165.68	$165.68
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 $139.78 / $252.43 / $403.53	Professional		$139.78	$252.43	$403.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.11 / $351.28 / $484.15	Professional		$242.11	$351.28	$484.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $295.04 / $525.67	Professional		$152.18	$295.04	$525.67
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 $179.67 / $294.23 / $525.67	Professional		$179.67	$294.23	$525.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $104.39 / $114.83 / $146.15	Professional		$104.39	$114.83	$146.15