Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $262.01 / $8,965.00	Facility		$100.00	$262.01	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $91.85 / $123.19	Professional		$65.44	$91.85	$123.19
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 $76.42 / $119.95 / $174.42	Professional		$76.42	$119.95	$174.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $170.26 / $267.98	Professional		$88.98	$170.26	$267.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $156.66 / $305.16	Professional		$80.59	$156.66	$305.16
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.05 / $163.63 / $327.64	Professional		$116.05	$163.63	$327.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $73.56 / $100.31	Professional		$49.48	$73.56	$100.31