Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $625.44 / $8,965.00	Facility		$100.00	$625.44	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $226.96 / $375.34	Professional		$173.40	$226.96	$375.34
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 $198.95 / $323.73 / $466.59	Professional		$198.95	$323.73	$466.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $435.96 / $730.87	Professional		$234.90	$435.96	$730.87
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $222.35 / $413.87 / $774.90	Professional		$222.35	$413.87	$774.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.95 / $437.00 / $754.75	Professional		$300.95	$437.00	$754.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $148.26 / $191.94 / $285.49	Professional		$148.26	$191.94	$285.49