Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $585.33 / $8,965.00	Facility		$100.00	$585.33	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $248.38 / $585.33	Professional		$143.40	$248.38	$585.33
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 $164.12 / $258.70 / $372.87	Professional		$164.12	$258.70	$372.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.32 / $344.79 / $587.51	Professional		$189.32	$344.79	$587.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $178.48 / $331.12 / $617.17	Professional		$178.48	$331.12	$617.17
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 $191.26 / $280.80 / $601.91	Professional		$191.26	$280.80	$601.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $138.10 / $165.72	Professional		$110.86	$138.10	$165.72