Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $246.10 / $8,965.00	Facility		$100.00	$246.10	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $135.75 / $207.60	Professional		$53.07	$135.75	$207.60
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 $61.46 / $118.26 / $293.76	Professional		$61.46	$118.26	$293.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $194.82 / $470.88	Professional		$71.33	$194.82	$470.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $173.74 / $515.48	Professional		$64.14	$173.74	$515.48
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 $194.31 / $251.45 / $468.48	Professional		$194.31	$251.45	$468.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $56.20 / $137.56	Professional		$40.14	$56.20	$137.56