Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $501.76 / $2,331.21	Facility		$100.00	$501.76	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $139.12 / $296.94	Professional		$103.99	$139.12	$296.94
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 $114.32 / $169.73 / $286.44	Professional		$114.32	$169.73	$286.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.28 / $259.72 / $440.38	Professional		$165.28	$259.72	$440.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $265.07 / $520.04	Professional		$127.00	$265.07	$520.04
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 $197.39 / $222.31 / $441.34	Professional		$197.39	$222.31	$441.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $115.06 / $161.08	Professional		$79.70	$115.06	$161.08