Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $475.28 / $8,965.00	Facility		$100.00	$475.28	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $84.34 / $292.19	Professional		$52.44	$84.34	$292.19
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 $78.28 / $125.28 / $175.65	Professional		$78.28	$125.28	$175.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $185.80 / $337.58	Professional		$105.02	$185.80	$337.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $207.61 / $405.75	Professional		$102.10	$207.61	$405.75
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $234.60 / $617.09	Professional		$165.33	$234.60	$617.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $134.97 / $205.38	Professional		$84.03	$134.97	$205.38