Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $680.44 / $9,396.00	Facility		$100.00	$680.44	$9,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.19 / $203.65 / $486.44	Professional		$168.19	$203.65	$486.44
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 $212.08 / $340.70 / $502.51	Professional		$212.08	$340.70	$502.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.11 / $429.74 / $617.77	Professional		$260.11	$429.74	$617.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $227.36 / $451.04 / $748.95	Professional		$227.36	$451.04	$748.95
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 $253.58 / $347.19 / $808.92	Professional		$253.58	$347.19	$808.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $186.70 / $294.67	Professional		$155.58	$186.70	$294.67