Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $164.65 / $2,331.21	Facility		$100.00	$164.65	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $73.68 / $164.65	Professional		$41.41	$73.68	$164.65
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 $48.59 / $81.72 / $144.46	Professional		$48.59	$81.72	$144.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $120.00 / $228.21	Professional		$56.91	$120.00	$228.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $121.80 / $256.02	Professional		$50.63	$121.80	$256.02
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 $72.94 / $118.91 / $228.37	Professional		$72.94	$118.91	$228.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $55.50 / $86.34	Professional		$34.90	$55.50	$86.34