Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $323.55 / $8,965.00	Facility		$100.00	$323.55	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $107.96 / $181.02	Professional		$59.84	$107.96	$181.02
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 $44.44 / $76.09 / $121.20	Professional		$44.44	$76.09	$121.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.98 / $113.64 / $181.80	Professional	50	$65.98	$113.64	$181.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $1,306.21 / $1,351.93	Facility		$76.73	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $118.33 / $207.58	Professional		$62.66	$118.33	$207.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $54.97 / $104.84 / $223.43	Professional		$54.97	$104.84	$223.43
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 $94.48 / $149.27 / $275.82	Professional		$94.48	$149.27	$275.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $64.06 / $106.13	Professional		$37.38	$64.06	$106.13