Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $624.41 / $8,965.00	Facility		$100.00	$624.41	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.75 / $185.55 / $624.41	Professional		$172.75	$185.55	$624.41
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 $200.25 / $291.39 / $463.96	Professional		$200.25	$291.39	$463.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $439.15 / $754.95	Professional		$270.02	$439.15	$754.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $236.70 / $449.89 / $842.34	Professional		$236.70	$449.89	$842.34
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 $274.52 / $363.45 / $674.99	Professional		$274.52	$363.45	$674.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $193.82 / $269.50	Professional		$142.29	$193.82	$269.50