Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $330.61 / $8,965.00	Facility		$100.00	$330.61	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $137.96 / $198.69	Professional		$83.91	$137.96	$198.69
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 $93.02 / $154.57 / $285.49	Professional		$93.02	$154.57	$285.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $217.45 / $455.28	Professional		$106.94	$217.45	$455.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $235.96 / $502.83	Professional		$95.78	$235.96	$502.83
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 $185.79 / $245.08 / $456.62	Professional		$185.79	$245.08	$456.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $110.93 / $164.96	Professional		$60.21	$110.93	$164.96