Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $779.77 / $6,067.00	Facility		$100.00	$779.77	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.66 / $328.65 / $779.77	Professional		$229.66	$328.65	$779.77
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 $240.44 / $368.18 / $557.64	Professional		$240.44	$368.18	$557.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.79 / $511.15 / $847.04	Professional		$286.79	$511.15	$847.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $258.20 / $519.32 / $1,014.93	Professional		$258.20	$519.32	$1,014.93
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 $406.97 / $616.15 / $1,169.94	Professional		$406.97	$616.15	$1,169.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $247.67 / $337.88	Professional		$181.62	$247.67	$337.88