Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $483.16 / $9,859.00	Facility		$100.00	$483.16	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.79 / $107.40 / $483.16	Professional		$86.79	$107.40	$483.16
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 $139.51 / $209.90 / $305.54	Professional		$139.51	$209.90	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $267.50 / $398.10	Professional		$155.88	$267.50	$398.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $294.57 / $489.14	Professional		$148.49	$294.57	$489.14
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $202.68 / $395.17	Professional		$181.56	$202.68	$395.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $124.49 / $196.48	Professional		$103.74	$124.49	$196.48