Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $167.65 / $8,965.00	Facility		$100.00	$167.65	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $75.34 / $167.65	Professional		$43.08	$75.34	$167.65
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 $50.18 / $84.44 / $148.29	Professional		$50.18	$84.44	$148.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $124.16 / $232.36	Professional		$58.89	$124.16	$232.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $123.43 / $259.45	Professional		$52.32	$123.43	$259.45
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 $97.11 / $122.51 / $231.94	Professional		$97.11	$122.51	$231.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $56.40 / $84.60	Professional		$35.89	$56.40	$84.60