Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $795.60 / $13,060.08	Facility		$100.00	$795.60	$13,060.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $221.44 / $369.58	Professional		$188.02	$221.44	$369.58
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 $228.17 / $376.42 / $584.66	Professional		$228.17	$376.42	$584.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.75 / $408.22 / $652.07	Professional		$253.75	$408.22	$652.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $221.07 / $438.56 / $728.23	Professional		$221.07	$438.56	$728.23
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 $237.33 / $346.22 / $677.32	Professional		$237.33	$346.22	$677.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $185.66 / $293.04	Professional		$154.72	$185.66	$293.04