Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $792.93 / $6,067.00	Facility		$100.00	$792.93	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $293.45 / $792.93	Professional		$201.50	$293.45	$792.93
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 $235.04 / $383.47 / $668.28	Professional		$235.04	$383.47	$668.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.73 / $519.30 / $1,064.50	Professional		$256.73	$519.30	$1,064.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $247.67 / $559.35 / $1,138.35	Professional		$247.67	$559.35	$1,138.35
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 $432.18 / $547.54 / $1,062.58	Professional		$432.18	$547.54	$1,062.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $167.90 / $257.85 / $360.99	Professional		$167.90	$257.85	$360.99