Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $183.05 / $2,331.21	Facility		$100.00	$183.05	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $79.55 / $183.05	Professional		$48.82	$79.55	$183.05
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 $54.40 / $86.72 / $148.60	Professional		$54.40	$86.72	$148.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $138.10 / $238.65	Professional		$81.03	$138.10	$238.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $139.27 / $283.43	Professional		$60.75	$139.27	$283.43
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 $107.80 / $152.18 / $420.63	Professional		$107.80	$152.18	$420.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $62.66 / $87.72	Professional		$37.72	$62.66	$87.72