Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $722.95 / $6,067.00	Facility		$100.00	$722.95	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $272.42 / $722.95	Professional		$190.04	$272.42	$722.95
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 $208.31 / $315.58 / $454.85	Professional		$208.31	$315.58	$454.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.86 / $427.94 / $704.93	Professional		$246.86	$427.94	$704.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $428.38 / $739.12	Professional		$234.34	$428.38	$739.12
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 $285.20 / $365.62 / $739.12	Professional		$285.20	$365.62	$739.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $193.97 / $273.36	Professional		$158.76	$193.97	$273.36