Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $155.47 / $8,965.00	Facility		$100.00	$155.47	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $65.73 / $155.47	Professional		$39.92	$65.73	$155.47
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 $46.93 / $78.87 / $141.16	Professional		$46.93	$78.87	$141.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $115.54 / $224.78	Professional		$54.80	$115.54	$224.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $119.62 / $251.46	Professional		$48.94	$119.62	$251.46
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 $93.55 / $119.92 / $289.86	Professional		$93.55	$119.92	$289.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $42.20 / $65.04	Professional		$30.14	$42.20	$65.04