Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $600.14 / $8,965.00	Facility		$100.00	$600.14	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $215.86 / $600.14	Professional		$154.91	$215.86	$600.14
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 $178.99 / $284.23 / $428.69	Professional		$178.99	$284.23	$428.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $307.55 / $491.27	Professional		$191.20	$307.55	$491.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $329.83 / $547.67	Professional		$166.26	$329.83	$547.67
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.42 / $260.77 / $485.87	Professional		$203.42	$260.77	$485.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $128.50 / $163.55	Professional		$116.82	$128.50	$163.55