Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $751.99 / $8,965.00	Facility		$100.00	$751.99	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $214.19 / $394.10	Professional		$127.50	$214.19	$394.10
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 $143.71 / $245.93 / $406.76	Professional		$143.71	$245.93	$406.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $327.05 / $619.33	Professional		$167.06	$327.05	$619.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $340.89 / $693.75	Professional		$154.84	$340.89	$693.75
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 $226.96 / $335.90 / $684.46	Professional		$226.96	$335.90	$684.46
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $105.51 / $166.33 / $260.72	Professional		$105.51	$166.33	$260.72