Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $340.34 / $2,331.21	Facility		$100.00	$340.34	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $126.76 / $209.88	Professional		$86.40	$126.76	$209.88
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 $98.07 / $164.95 / $241.24	Professional		$98.07	$164.95	$241.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.10 / $247.42 / $361.87	Professional	50	$147.10	$247.42	$361.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $234.90 / $365.76	Professional		$120.20	$234.90	$365.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $210.54 / $411.46	Professional		$107.17	$210.54	$411.46
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 $156.55 / $208.22 / $474.30	Professional		$156.55	$208.22	$474.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $98.78 / $140.90	Professional		$66.40	$98.78	$140.90