Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $555.70 / $6,067.00	Facility		$100.00	$555.70	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $240.98 / $555.70	Professional		$141.29	$240.98	$555.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $275.91 / $402.07	Professional		$160.91	$275.91	$402.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.73 / $379.36 / $607.05	Professional		$193.73	$379.36	$607.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $350.89 / $685.76	Professional		$180.16	$350.89	$685.76
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.18 / $341.22 / $667.54	Professional		$266.18	$341.22	$667.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $169.55 / $240.51	Professional		$120.78	$169.55	$240.51