Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $526.07 / $6,067.00	Facility		$100.00	$526.07	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $126.00 / $526.07	Professional		$95.27	$126.00	$526.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $232.41 / $330.28	Professional		$143.62	$232.41	$330.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $322.01 / $617.91	Professional		$192.62	$322.01	$617.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $397.40 / $780.61	Professional		$187.33	$397.40	$780.61
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.91 / $294.16 / $637.15	Professional		$274.91	$294.16	$637.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $154.10 / $231.15 / $318.92	Professional		$154.10	$231.15	$318.92