Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $341.80 / $2,331.21	Facility		$100.00	$341.80	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $117.48 / $193.09	Professional		$87.08	$117.48	$193.09
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 $96.87 / $167.37 / $241.23	Professional		$96.87	$167.37	$241.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $227.23 / $373.79	Professional		$126.35	$227.23	$373.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $216.71 / $405.75	Professional		$113.07	$216.71	$405.75
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 $148.59 / $187.10 / $599.03	Professional		$148.59	$187.10	$599.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $97.47 / $132.65	Professional		$67.34	$97.47	$132.65