Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $584.78 / $6,067.00	Facility		$100.00	$584.78	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $242.03 / $399.42	Professional		$145.62	$242.03	$399.42
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 $166.93 / $294.10 / $444.29	Professional		$166.93	$294.10	$444.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $391.32 / $673.55	Professional		$196.70	$391.32	$673.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $386.24 / $757.77	Professional		$184.38	$386.24	$757.77
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 $292.39 / $386.02 / $756.77	Professional		$292.39	$386.02	$756.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $192.31 / $276.12	Professional		$124.73	$192.31	$276.12