Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $274.38 / $8,965.00	Facility		$100.00	$274.38	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $138.40 / $321.93	Professional		$77.61	$138.40	$321.93
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 $83.96 / $146.21 / $253.11	Professional		$83.96	$146.21	$253.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $226.12 / $450.83	Professional		$128.62	$226.12	$450.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $235.96 / $516.62	Professional		$95.78	$235.96	$516.62
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 $194.48 / $229.15 / $438.24	Professional		$194.48	$229.15	$438.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $110.95 / $161.44	Professional		$65.00	$110.95	$161.44