Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $476.78 / $8,965.00	Facility		$100.00	$476.78	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $167.87 / $476.78	Professional		$124.19	$167.87	$476.78
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 $140.36 / $216.82 / $328.44	Professional		$140.36	$216.82	$328.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $251.87 / $380.76	Professional		$146.25	$251.87	$380.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $252.70 / $419.60	Professional		$127.38	$252.70	$419.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $228.05 / $381.45	Professional		$159.71	$228.05	$381.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $100.68 / $128.13	Professional		$91.53	$100.68	$128.13