Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $295.86 / $8,965.00	Facility		$100.00	$295.86	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $115.77 / $295.86	Professional		$73.81	$115.77	$295.86
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 $87.20 / $155.26 / $310.29	Professional		$87.20	$155.26	$310.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $213.78 / $496.01	Professional		$100.84	$213.78	$496.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $224.46 / $548.59	Professional		$90.29	$224.46	$548.59
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 $187.83 / $279.51 / $622.05	Professional		$187.83	$279.51	$622.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $78.41 / $133.63	Professional		$56.01	$78.41	$133.63