Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $497.27 / $8,965.00	Facility		$100.00	$497.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $267.62 / $436.89	Professional		$152.91	$267.62	$436.89
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 $138.38 / $238.37 / $379.63	Professional		$138.38	$238.37	$379.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $1,306.21 / $1,351.93	Facility		$239.86	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $386.16 / $773.47	Professional		$198.53	$386.16	$773.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $374.34 / $845.02	Professional		$172.20	$374.34	$845.02
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 $361.32 / $542.34 / $892.57	Professional		$361.32	$542.34	$892.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $158.19 / $296.62	Professional		$112.99	$158.19	$296.62