Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $180.14 / $8,965.00	Facility		$100.00	$180.14	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $52.66 / $98.65	Professional		$49.17	$52.66	$98.65
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 $52.82 / $79.22 / $118.67	Professional		$52.82	$79.22	$118.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $105.00 / $143.43	Professional		$66.95	$105.00	$143.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $106.51 / $176.86	Professional		$53.69	$106.51	$176.86
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 $64.53 / $72.33 / $143.49	Professional		$64.53	$72.33	$143.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $46.56 / $70.55	Professional		$37.25	$46.56	$70.55