Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $384.27 / $8,965.00	Facility		$100.00	$384.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $137.88 / $225.45	Professional		$84.79	$137.88	$225.45
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 $96.19 / $158.16 / $265.22	Professional		$96.19	$158.16	$265.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $225.25 / $414.60	Professional		$113.55	$225.25	$414.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $228.01 / $464.02	Professional		$101.26	$228.01	$464.02
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.23 / $254.56 / $432.87	Professional		$181.23	$254.56	$432.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $115.81 / $188.00	Professional		$68.30	$115.81	$188.00