Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $310.58 / $8,965.00	Facility		$100.00	$310.58	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.59 / $250.00	Professional		$84.85	$99.59	$250.00
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 $96.97 / $141.44 / $237.33	Professional		$96.97	$141.44	$237.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $215.26 / $362.54	Professional		$139.00	$215.26	$362.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $220.47 / $430.88	Professional		$106.75	$220.47	$430.88
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 $159.63 / $164.07 / $363.07	Professional		$159.63	$164.07	$363.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $97.50 / $132.51	Professional		$73.50	$97.50	$132.51