Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $380.57 / $8,965.00	Facility		$100.00	$380.57	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $169.30 / $292.33	Professional		$104.59	$169.30	$292.33
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 $106.31 / $178.25 / $324.29	Professional		$106.31	$178.25	$324.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $246.08 / $468.62	Professional		$128.94	$246.08	$468.62
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $274.57 / $577.17	Professional		$115.18	$274.57	$577.17
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 $187.00 / $270.26 / $595.47	Professional		$187.00	$270.26	$595.47
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $128.51 / $192.77	Professional		$75.37	$128.51	$192.77