Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $297.08 / $8,965.00	Facility		$100.00	$297.08	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $121.24 / $297.08	Professional		$59.63	$121.24	$297.08
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 $66.95 / $105.57 / $154.66	Professional		$66.95	$105.57	$154.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $123.73 / $174.42	Professional		$78.00	$123.73	$174.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $124.15 / $206.14	Professional		$62.58	$124.15	$206.14
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 $77.52 / $112.85 / $167.90	Professional		$77.52	$112.85	$167.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $48.82 / $62.13	Professional		$44.38	$48.82	$62.13