Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $321.39 / $8,965.00	Facility		$100.00	$321.39	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $115.75 / $321.39	Professional		$84.61	$115.75	$321.39
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 $93.02 / $146.87 / $224.36	Professional		$93.02	$146.87	$224.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.19 / $168.99 / $270.00	Professional		$100.19	$168.99	$270.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $172.63 / $286.64	Professional		$87.02	$172.63	$286.64
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 $106.85 / $136.97 / $255.20	Professional		$106.85	$136.97	$255.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $67.63 / $86.07	Professional		$61.48	$67.63	$86.07