Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $328.79 / $2,331.21	Facility		$100.00	$328.79	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $127.34 / $336.36	Professional		$93.01	$127.34	$336.36
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 $115.24 / $195.18 / $342.58	Professional		$115.24	$195.18	$342.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.25 / $273.22 / $545.64	Professional		$184.25	$273.22	$545.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $310.57 / $627.71	Professional		$140.08	$310.57	$627.71
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 $185.55 / $267.54 / $728.59	Professional		$185.55	$267.54	$728.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $113.99 / $174.85	Professional		$81.09	$113.99	$174.85