Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $297.27 / $8,965.00	Facility		$100.00	$297.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $74.04 / $124.41	Professional		$57.40	$74.04	$124.41
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 $66.84 / $102.36 / $147.53	Professional		$66.84	$102.36	$147.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $141.97 / $226.78	Professional		$79.75	$141.97	$226.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $133.54 / $240.01	Professional		$72.15	$133.54	$240.01
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 $90.49 / $124.31 / $268.76	Professional		$90.49	$124.31	$268.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $62.69 / $89.73	Professional		$49.26	$62.69	$89.73