Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $849.74 / $6,067.00	Facility		$100.00	$849.74	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.58 / $277.14 / $368.55	Professional		$202.58	$277.14	$368.55
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 $246.58 / $407.57 / $634.61	Professional		$246.58	$407.57	$634.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.29 / $440.57 / $703.76	Professional		$275.29	$440.57	$703.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $239.95 / $476.01 / $790.42	Professional		$239.95	$476.01	$790.42
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 $294.01 / $334.29 / $737.34	Professional		$294.01	$334.29	$737.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $202.18 / $319.10	Professional		$168.48	$202.18	$319.10