Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $971.57 / $9,859.00	Facility		$100.00	$971.57	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.95 / $291.24 / $385.06	Professional		$173.95	$291.24	$385.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.61 / $445.74 / $712.01	Professional		$244.61	$445.74	$712.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.95 / $618.66 / $852.18	Professional		$429.95	$618.66	$852.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $268.51 / $520.57 / $927.51	Professional		$268.51	$520.57	$927.51
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 $293.77 / $394.69 / $890.50	Professional		$293.77	$394.69	$890.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $182.38 / $200.62 / $255.33	Professional		$182.38	$200.62	$255.33