Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $807.58 / $6,067.00	Facility		$100.00	$807.58	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.73 / $338.91 / $807.58	Professional		$238.73	$338.91	$807.58
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 $240.86 / $386.48 / $566.49	Professional		$240.86	$386.48	$566.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.20 / $509.77 / $840.69	Professional		$284.20	$509.77	$840.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $256.10 / $505.87 / $988.64	Professional		$256.10	$505.87	$988.64
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 $408.88 / $524.16 / $1,108.79	Professional		$408.88	$524.16	$1,108.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $248.40 / $349.25	Professional		$167.19	$248.40	$349.25