Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $458.38 / $6,067.00	Facility		$100.00	$458.38	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $141.11 / $458.38	Professional		$130.33	$141.11	$458.38
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 $151.22 / $220.29 / $335.90	Professional		$151.22	$220.29	$335.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $347.51 / $543.55	Professional		$212.83	$347.51	$543.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $186.45 / $342.95 / $604.61	Professional		$186.45	$342.95	$604.61
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 $196.60 / $302.89 / $696.96	Professional		$196.60	$302.89	$696.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $139.35 / $205.35	Professional		$108.42	$139.35	$205.35