Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $219.14 / $8,965.00	Facility		$100.00	$219.14	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $85.73 / $219.14	Professional		$55.07	$85.73	$219.14
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 $63.95 / $104.52 / $169.19	Professional		$63.95	$104.52	$169.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $149.57 / $260.93	Professional		$74.88	$149.57	$260.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $147.12 / $296.02	Professional		$67.51	$147.12	$296.02
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 $110.70 / $142.90 / $264.39	Professional		$110.70	$142.90	$264.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $66.53 / $99.80	Professional		$45.90	$66.53	$99.80