Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $390.53 / $8,965.00	Facility		$100.00	$390.53	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.35 / $161.78 / $390.53	Professional		$85.35	$161.78	$390.53
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 $129.02 / $205.47 / $302.00	Professional		$129.02	$205.47	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $235.22 / $323.66	Professional		$146.41	$235.22	$323.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $242.42 / $402.54	Professional		$122.20	$242.42	$402.54
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 $146.06 / $191.70 / $317.64	Professional		$146.06	$191.70	$317.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $91.82 / $116.86	Professional		$83.47	$91.82	$116.86