Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $216.54 / $2,331.21	Facility		$100.00	$216.54	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $78.48 / $116.52	Professional		$58.34	$78.48	$116.52
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 $65.04 / $99.81 / $172.50	Professional		$65.04	$99.81	$172.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $156.38 / $264.33	Professional		$96.29	$156.38	$264.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $157.22 / $313.16	Professional		$72.15	$157.22	$313.16
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 $117.91 / $170.66 / $360.98	Professional		$117.91	$170.66	$360.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $70.69 / $98.97	Professional		$45.76	$70.69	$98.97