Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $310.95 / $2,331.21	Facility		$109.26	$310.95	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $81.36 / $127.93	Professional		$68.53	$81.36	$127.93
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 $78.73 / $134.34 / $199.95	Professional		$78.73	$134.34	$199.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $225.31 / $331.45	Professional		$133.94	$225.31	$331.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $192.41 / $376.03	Professional		$95.36	$192.41	$376.03
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 $152.04 / $187.12 / $328.36	Professional		$152.04	$187.12	$328.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $89.46 / $126.59	Professional		$60.80	$89.46	$126.59