Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $216.22 / $8,598.14	Facility		$100.00	$216.22	$8,598.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $121.50 / $221.01	Professional		$101.92	$121.50	$221.01
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 $120.07 / $174.64 / $257.49	Professional		$120.07	$174.64	$257.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $225.00 / $354.08	Professional		$138.21	$225.00	$354.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $214.51 / $356.19	Professional		$108.13	$214.51	$356.19
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 $141.50 / $194.32 / $428.15	Professional		$141.50	$194.32	$428.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $105.27 / $158.99	Professional		$83.84	$105.27	$158.99