Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $523.27 / $8,965.00	Facility		$100.00	$523.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $152.77 / $523.27	Professional		$143.69	$152.77	$523.27
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 $161.22 / $233.24 / $347.32	Professional		$161.22	$233.24	$347.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $365.75 / $561.78	Professional		$224.90	$365.75	$561.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $197.42 / $360.78 / $625.16	Professional		$197.42	$360.78	$625.16
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.96 / $338.86 / $691.07	Professional		$217.96	$338.86	$691.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $150.16 / $220.97	Professional		$116.67	$150.16	$220.97