Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $592.29 / $8,965.00	Facility		$100.00	$592.29	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $143.08 / $230.57	Professional		$57.21	$143.08	$230.57
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 $80.59 / $152.68 / $300.13	Professional		$80.59	$152.68	$300.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $229.73 / $480.98	Professional		$124.07	$229.73	$480.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $210.83 / $539.46	Professional		$84.81	$210.83	$539.46
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 $230.33 / $295.27 / $498.90	Professional		$230.33	$295.27	$498.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $117.18 / $188.29	Professional		$54.44	$117.18	$188.29