Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $398.77 / $6,067.00	Facility		$100.00	$398.77	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $117.69 / $305.69	Professional		$98.64	$117.69	$305.69
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 $131.50 / $189.38 / $278.11	Professional		$131.50	$189.38	$278.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $301.70 / $449.11	Professional		$184.17	$301.70	$449.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $292.91 / $507.25	Professional		$159.38	$292.91	$507.25
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $216.71 / $391.12	Professional		$157.85	$216.71	$391.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $93.90 / $112.55 / $152.26	Professional		$93.90	$112.55	$152.26