Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $357.00 / $8,965.00	Facility		$100.00	$357.00	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $126.35 / $357.00	Professional		$89.63	$126.35	$357.00
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 $105.39 / $177.05 / $324.29	Professional		$105.39	$177.05	$324.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.21 / $242.89 / $517.36	Professional		$122.21	$242.89	$517.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $269.58 / $572.61	Professional		$109.70	$269.58	$572.61
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.72 / $259.75 / $483.95	Professional		$196.72	$259.75	$483.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $115.74 / $164.53	Professional		$74.23	$115.74	$164.53