Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $821.73 / $8,965.00	Facility		$100.00	$821.73	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $252.84 / $821.73	Professional		$214.12	$252.84	$821.73
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 $238.89 / $315.98 / $490.84	Professional		$238.89	$315.98	$490.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.27 / $503.75 / $780.12	Professional		$300.27	$503.75	$780.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $495.13 / $877.41	Professional		$267.50	$495.13	$877.41
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 $301.63 / $384.03 / $772.68	Professional		$301.63	$384.03	$772.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $200.36 / $240.43	Professional		$167.61	$200.36	$240.43