Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $590.16 / $6,067.00	Facility		$100.00	$590.16	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $182.66 / $590.16	Professional		$162.69	$182.66	$590.16
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 $181.33 / $271.87 / $433.12	Professional		$181.33	$271.87	$433.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $409.31 / $704.37	Professional		$251.27	$409.31	$704.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $419.99 / $786.35	Professional		$220.67	$419.99	$786.35
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 $261.81 / $393.21 / $906.45	Professional		$261.81	$393.21	$906.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.65 / $180.48 / $250.37	Professional		$132.65	$180.48	$250.37