Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $394.12 / $2,331.21	Facility		$100.00	$394.12	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.73 / $188.46 / $304.89	Professional		$113.73	$188.46	$304.89
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 $127.30 / $211.16 / $304.33	Professional		$127.30	$211.16	$304.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.99 / $289.44 / $479.94	Professional		$158.99	$289.44	$479.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $269.81 / $505.17	Professional		$145.13	$269.81	$505.17
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 $182.00 / $206.98 / $482.00	Professional		$182.00	$206.98	$482.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $123.13 / $164.25	Professional		$95.39	$123.13	$164.25