Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $608.92 / $6,067.00	Facility		$100.00	$608.92	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $181.80 / $336.96	Professional		$149.97	$181.80	$336.96
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 $191.58 / $303.58 / $446.69	Professional		$191.58	$303.58	$446.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $382.00 / $549.37	Professional		$234.90	$382.00	$549.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $202.92 / $402.55 / $668.44	Professional		$202.92	$402.55	$668.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $298.77 / $537.16	Professional		$230.74	$298.77	$537.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $153.04 / $194.78	Professional		$139.13	$153.04	$194.78