Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $478.16 / $2,331.21	Facility		$100.00	$478.16	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $119.37 / $248.36	Professional		$85.60	$119.37	$248.36
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 $127.45 / $182.78 / $256.27	Professional		$127.45	$182.78	$256.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $281.94 / $475.91	Professional		$170.71	$281.94	$475.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $305.72 / $545.16	Professional		$166.24	$305.72	$545.16
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 $213.48 / $275.00 / $464.63	Professional		$213.48	$275.00	$464.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $187.68 / $258.35	Professional		$136.53	$187.68	$258.35