Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $731.34 / $6,067.00	Facility		$100.00	$731.34	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $146.51 / $224.49	Professional		$74.98	$146.51	$224.49
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 $135.79 / $237.55 / $443.18	Professional		$135.79	$237.55	$443.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.63 / $432.08 / $713.17	Professional		$225.63	$432.08	$713.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.19 / $374.89 / $794.34	Professional		$174.19	$374.89	$794.34
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 $210.80 / $417.68 / $942.38	Professional		$210.80	$417.68	$942.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $121.06 / $236.63	Professional		$86.47	$121.06	$236.63