Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $408.18 / $8,965.00	Facility		$100.00	$408.18	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $88.15 / $135.69	Professional		$34.90	$88.15	$135.69
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 $49.95 / $90.92 / $134.34	Professional		$49.95	$90.92	$134.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $155.78 / $326.14	Professional		$88.42	$155.78	$326.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $151.03 / $353.16	Professional		$60.75	$151.03	$353.16
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 $155.44 / $217.38 / $337.42	Professional		$155.44	$217.38	$337.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $82.66 / $127.57	Professional		$42.21	$82.66	$127.57