Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $643.36 / $6,067.00	Facility		$100.00	$643.36	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $396.14 / $593.62	Professional		$167.44	$396.14	$593.62
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 $195.30 / $344.44 / $683.32	Professional		$195.30	$344.44	$683.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.98 / $480.29 / $1,135.70	Professional		$215.98	$480.29	$1,135.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.21 / $507.69 / $1,195.49	Professional		$204.21	$507.69	$1,195.49
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 $524.05 / $725.62 / $1,251.69	Professional		$524.05	$725.62	$1,251.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $305.77 / $458.67	Professional		$139.97	$305.77	$458.67