Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.34 / $6,067.00	Facility		$100.00	$165.34	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $148.46 / $205.15	Professional		$103.20	$148.46	$205.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $259.08 / $435.79	Professional		$168.32	$259.08	$435.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $367.47 / $636.60	Professional		$234.90	$367.47	$636.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $407.33 / $794.34	Professional		$193.66	$407.33	$794.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $361.68 / $650.28	Professional		$246.92	$361.68	$650.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $166.62 / $238.29	Professional		$116.27	$166.62	$238.29