Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $967.90 / $8,965.00	Facility		$100.00	$967.90	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.47 / $234.80 / $644.54	Professional		$153.47	$234.80	$644.54
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 $236.93 / $420.76 / $663.92	Professional		$236.93	$420.76	$663.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.76 / $632.16 / $1,033.96	Professional		$349.76	$632.16	$1,033.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $270.87 / $589.41 / $1,157.78	Professional		$270.87	$589.41	$1,157.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.77 / $640.96 / $2,054.69	Professional		$380.77	$640.96	$2,054.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $228.10 / $316.89	Professional		$162.93	$228.10	$316.89