Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $399.91 / $8,965.00	Facility		$100.00	$399.91	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $158.69 / $399.91	Professional		$106.18	$158.69	$399.91
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 $130.25 / $216.78 / $317.56	Professional		$130.25	$216.78	$317.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $248.86 / $341.23	Professional		$154.63	$248.86	$341.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $254.90 / $423.26	Professional		$128.49	$254.90	$423.26
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 $154.19 / $229.95 / $797.30	Professional		$154.19	$229.95	$797.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $96.47 / $122.78	Professional		$87.70	$96.47	$122.78