Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $911.28 / $9,859.00	Facility		$100.00	$911.28	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $267.22 / $911.28	Professional		$247.31	$267.22	$911.28
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 $273.97 / $424.90 / $623.62	Professional		$273.97	$424.90	$623.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.35 / $563.38 / $767.97	Professional		$334.35	$563.38	$767.97
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $282.17 / $559.77 / $929.50	Professional		$282.17	$559.77	$929.50
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 $342.83 / $476.98 / $982.48	Professional		$342.83	$476.98	$982.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $278.91 / $340.37 / $494.60	Professional		$278.91	$340.37	$494.60