Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $576.92 / $8,965.00	Facility		$100.00	$576.92	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $161.84 / $380.57	Professional		$124.72	$161.84	$380.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $202.50 / $336.81	Professional		$138.76	$202.50	$336.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.50 / $304.95 / $513.17	Professional		$200.50	$304.95	$513.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $154.84 / $312.88 / $611.47	Professional		$154.84	$312.88	$611.47
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.97 / $318.80 / $514.04	Professional		$226.97	$318.80	$514.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $134.27 / $187.43	Professional		$95.91	$134.27	$187.43