Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $484.31 / $6,067.00	Facility		$100.00	$484.31	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $149.66 / $484.31	Professional		$137.68	$149.66	$484.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $236.63 / $384.65	Professional		$157.29	$236.63	$384.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $350.25 / $627.90	Professional		$234.90	$350.25	$627.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $186.91 / $363.35 / $698.32	Professional		$186.91	$363.35	$698.32
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.06 / $290.52 / $539.17	Professional		$223.06	$290.52	$539.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $111.20 / $153.01 / $211.58	Professional		$111.20	$153.01	$211.58