Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $414.21 / $9,859.00	Facility		$100.00	$414.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $128.97 / $414.21	Professional		$116.20	$128.97	$414.21
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 $133.22 / $193.07 / $300.33	Professional		$133.22	$193.07	$300.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.79 / $304.89 / $484.89	Professional		$187.79	$304.89	$484.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $163.29 / $302.24 / $540.60	Professional		$163.29	$302.24	$540.60
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 $172.81 / $233.30 / $438.73	Professional		$172.81	$233.30	$438.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $96.87 / $114.55 / $137.46	Professional		$96.87	$114.55	$137.46