Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $260.32 / $8,965.00	Facility		$100.00	$260.32	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $96.24 / $260.32	Professional		$71.06	$96.24	$260.32
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 $81.80 / $130.35 / $198.59	Professional		$81.80	$130.35	$198.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $147.88 / $225.59	Professional		$88.38	$147.88	$225.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $152.79 / $253.71	Professional		$77.02	$152.79	$253.71
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 $92.78 / $135.35 / $221.60	Professional		$92.78	$135.35	$221.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $58.52 / $74.48	Professional		$53.20	$58.52	$74.48