Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $529.02 / $8,965.00	Facility		$100.00	$529.02	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $129.19 / $178.99	Professional		$110.20	$129.19	$178.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $251.67 / $367.81	Professional		$124.21	$251.67	$367.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.16 / $240.81 / $386.41	Professional		$154.16	$240.81	$386.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $245.98 / $468.42	Professional		$142.19	$245.98	$468.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $199.79 / $371.92	Professional		$142.82	$199.79	$371.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $114.52 / $145.75	Professional		$104.11	$114.52	$145.75