Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $398.96 / $8,965.00	Facility		$100.00	$398.96	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $152.50 / $398.96	Professional		$88.57	$152.50	$398.96
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 $97.58 / $148.91 / $220.56	Professional		$97.58	$148.91	$220.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $176.06 / $251.15	Professional		$110.65	$176.06	$251.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $89.24 / $177.03 / $293.97	Professional		$89.24	$177.03	$293.97
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $160.47 / $251.03	Professional		$115.90	$160.47	$251.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $72.97 / $92.88	Professional		$66.34	$72.97	$92.88