Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $655.54 / $6,067.00	Facility		$100.00	$655.54	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $396.33 / $655.54	Professional		$170.45	$396.33	$655.54
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 $198.50 / $356.56 / $706.85	Professional		$198.50	$356.56	$706.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.68 / $488.67 / $1,164.69	Professional		$220.68	$488.67	$1,164.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $208.43 / $518.16 / $1,236.64	Professional		$208.43	$518.16	$1,236.64
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 $476.27 / $701.21 / $1,425.51	Professional		$476.27	$701.21	$1,425.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $180.56 / $383.27	Professional		$128.97	$180.56	$383.27