Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $287.11 / $3,055.66	Facility		$100.00	$287.11	$3,055.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $101.44 / $287.11	Professional		$81.31	$101.44	$287.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $165.46 / $284.55	Professional		$98.97	$165.46	$284.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.77 / $233.11 / $453.40	Professional		$159.77	$233.11	$453.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $262.07 / $516.62	Professional		$120.25	$262.07	$516.62
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.83 / $223.63 / $395.82	Professional		$140.83	$223.63	$395.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $97.90 / $152.40	Professional		$69.79	$97.90	$152.40