Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $406.65 / $9,859.00	Facility		$100.00	$406.65	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $406.65	Professional		$65.63	$65.63	$406.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $175.88 / $256.02	Professional		$118.69	$175.88	$256.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $230.72 / $331.38	Professional		$130.00	$230.72	$331.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $246.82 / $409.85	Professional		$124.42	$246.82	$409.85
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 $154.22 / $206.42 / $401.02	Professional		$154.22	$206.42	$401.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $127.70 / $162.53	Professional		$116.09	$127.70	$162.53