Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.08 / $192.08 / $192.08	Facility		$192.08	$192.08	$192.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $51.52 / $192.08	Professional		$36.65	$51.52	$192.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $84.56 / $126.44	Professional		$54.40	$84.56	$126.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $103.60 / $164.01	Professional		$63.00	$103.60	$164.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.88 / $96.97 / $161.02	Professional		$48.88	$96.97	$161.02
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $78.31 / $134.44	Professional		$58.42	$78.31	$134.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $44.28 / $62.48	Professional		$37.63	$44.28	$62.48