Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $421.42 / $8,965.00	Facility		$100.00	$421.42	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.05 / $150.62 / $328.84	Professional		$116.05	$150.62	$328.84
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 $129.30 / $189.71 / $317.29	Professional		$129.30	$189.71	$317.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.63 / $287.47 / $485.30	Professional		$186.63	$287.47	$485.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $294.74 / $576.03	Professional		$143.87	$294.74	$576.03
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 $214.57 / $300.94 / $848.52	Professional		$214.57	$300.94	$848.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $125.98 / $176.37	Professional		$89.17	$125.98	$176.37