Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $655.50 / $8,965.00	Facility		$100.00	$655.50	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $145.40 / $292.31	Professional		$71.09	$145.40	$292.31
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 $81.00 / $155.91 / $310.29	Professional		$81.00	$155.91	$310.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $237.47 / $497.20	Professional		$127.70	$237.47	$497.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $217.12 / $550.88	Professional		$87.34	$217.12	$550.88
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 $215.76 / $276.60 / $467.34	Professional		$215.76	$276.60	$467.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $59.86 / $126.01 / $189.02	Professional		$59.86	$126.01	$189.02