Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $306.41 / $8,965.00	Facility		$100.00	$306.41	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $129.44 / $306.41	Professional		$75.65	$129.44	$306.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $141.16 / $219.38	Professional		$86.06	$141.16	$219.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $153.46 / $245.13	Professional		$95.06	$153.46	$245.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $164.56 / $273.25	Professional		$82.95	$164.56	$273.25
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 $101.63 / $140.72 / $301.32	Professional		$101.63	$140.72	$301.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $70.42 / $110.10	Professional		$58.68	$70.42	$110.10