Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $854.55 / $6,067.00	Facility		$100.00	$854.55	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $303.18 / $385.39	Professional		$215.09	$303.18	$385.39
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 $253.85 / $395.50 / $597.66	Professional		$253.85	$395.50	$597.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.99 / $430.49 / $686.20	Professional		$264.99	$430.49	$686.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $231.81 / $459.86 / $763.61	Professional		$231.81	$459.86	$763.61
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 $288.22 / $369.49 / $688.41	Professional		$288.22	$369.49	$688.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $197.35 / $311.49	Professional		$164.46	$197.35	$311.49