Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $538.13 / $8,965.00	Facility		$100.00	$538.13	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $217.56 / $384.63	Professional		$158.56	$217.56	$384.63
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 $153.53 / $253.66 / $372.20	Professional		$153.53	$253.66	$372.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $1,306.21 / $1,351.93	Facility		$265.33	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.21 / $348.60 / $608.15	Professional		$218.21	$348.60	$608.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $189.98 / $347.54 / $656.51	Professional		$189.98	$347.54	$656.51
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 $268.68 / $420.42 / $691.91	Professional		$268.68	$420.42	$691.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $175.06 / $228.30	Professional		$125.04	$175.06	$228.30