Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $605.80 / $8,965.00	Facility		$100.00	$605.80	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.25 / $240.55 / $442.74	Professional		$149.25	$240.55	$442.74
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 $174.81 / $282.91 / $461.87	Professional		$174.81	$282.91	$461.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $402.07 / $724.50	Professional		$187.68	$402.07	$724.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $397.05 / $808.05	Professional		$177.63	$397.05	$808.05
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.31 / $456.71 / $941.42	Professional		$325.31	$456.71	$941.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $196.68 / $296.57	Professional		$125.13	$196.68	$296.57