Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $667.79 / $8,965.00	Facility		$100.00	$667.79	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $118.20 / $667.79	Professional		$118.20	$118.20	$667.79
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 $188.08 / $279.52 / $406.88	Professional		$188.08	$279.52	$406.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $356.92 / $528.69	Professional		$207.10	$356.92	$528.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $392.28 / $651.38	Professional		$197.74	$392.28	$651.38
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 $243.91 / $329.49 / $703.54	Professional		$243.91	$329.49	$703.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $185.91 / $204.50 / $260.27	Professional		$185.91	$204.50	$260.27