Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $511.85 / $8,965.00	Facility		$100.00	$511.85	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.34 / $197.18 / $511.85	Professional		$124.34	$197.18	$511.85
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 $143.27 / $217.53 / $316.64	Professional		$143.27	$217.53	$316.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $257.93 / $347.79	Professional		$158.34	$257.93	$347.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $254.16 / $422.04	Professional		$128.12	$254.16	$422.04
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 $168.81 / $216.40 / $365.63	Professional		$168.81	$216.40	$365.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $105.84 / $134.71	Professional		$96.22	$105.84	$134.71