Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $533.71 / $8,965.00	Facility		$100.00	$533.71	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $253.46 / $533.71	Professional		$126.84	$253.46	$533.71
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 $145.71 / $237.17 / $367.26	Professional		$145.71	$237.17	$367.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $260.82 / $407.39	Professional		$158.87	$260.82	$407.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $275.47 / $457.42	Professional		$138.86	$275.47	$457.42
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $249.36 / $494.05	Professional		$172.13	$249.36	$494.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $108.10 / $137.58	Professional		$98.27	$108.10	$137.58