Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $699.19 / $8,965.00	Facility		$100.00	$699.19	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.51 / $206.54 / $699.19	Professional		$187.51	$206.54	$699.19
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 $214.44 / $338.47 / $498.40	Professional		$214.44	$338.47	$498.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $426.05 / $612.63	Professional		$267.52	$426.05	$612.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $225.51 / $447.37 / $742.85	Professional		$225.51	$447.37	$742.85
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 $259.43 / $341.76 / $599.48	Professional		$259.43	$341.76	$599.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $186.41 / $294.20	Professional		$155.34	$186.41	$294.20