Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $525.60 / $8,965.00	Facility		$100.00	$525.60	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.36 / $131.31 / $525.60	Professional		$103.36	$131.31	$525.60
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 $158.58 / $269.54 / $377.92	Professional		$158.58	$269.54	$377.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.64 / $397.57 / $680.51	Professional		$231.64	$397.57	$680.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.18 / $373.12 / $645.76	Professional		$204.18	$373.12	$645.76
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $338.28 / $519.12	Professional		$215.05	$338.28	$519.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $159.86 / $229.25	Professional		$121.04	$159.86	$229.25