Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $337.19 / $6,067.00	Facility		$100.00	$337.19	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $112.30 / $236.04	Professional		$93.92	$112.30	$236.04
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 $103.28 / $146.83 / $239.22	Professional		$103.28	$146.83	$239.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $217.08 / $383.05	Professional		$148.40	$217.08	$383.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $224.73 / $434.30	Professional		$115.60	$224.73	$434.30
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 $158.47 / $184.09 / $500.63	Professional		$158.47	$184.09	$500.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $100.04 / $133.32	Professional		$71.75	$100.04	$133.32