Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $572.21 / $9,859.00	Facility		$100.00	$572.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.68 / $167.78 / $167.78	Professional		$85.68	$167.78	$167.78
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 $144.72 / $260.07 / $414.66	Professional		$144.72	$260.07	$414.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $345.46 / $502.44	Professional		$249.37	$345.46	$502.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $303.17 / $540.16	Professional		$156.37	$303.17	$540.16
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 $186.56 / $245.28 / $531.30	Professional		$186.56	$245.28	$531.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $119.24 / $151.76	Professional		$108.40	$119.24	$151.76