Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $449.99 / $8,965.00	Facility		$100.00	$449.99	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $200.72 / $449.99	Professional		$124.21	$200.72	$449.99
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 $149.91 / $236.65 / $408.14	Professional		$149.91	$236.65	$408.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $327.52 / $601.53	Professional		$177.56	$327.52	$601.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $156.53 / $361.66 / $736.04	Professional		$156.53	$361.66	$736.04
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 $238.47 / $346.60 / $788.30	Professional		$238.47	$346.60	$788.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $170.13 / $238.18	Professional		$108.39	$170.13	$238.18