Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $457.95 / $2,331.21	Facility		$100.00	$457.95	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $225.15 / $457.95	Professional		$137.25	$225.15	$457.95
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 $137.04 / $237.95 / $387.70	Professional		$137.04	$237.95	$387.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $304.33 / $516.44	Professional		$168.58	$304.33	$516.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $332.47 / $676.62	Professional		$151.47	$332.47	$676.62
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 $272.18 / $382.06 / $738.10	Professional		$272.18	$382.06	$738.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $159.16 / $230.60	Professional		$103.68	$159.16	$230.60