Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $213.84 / $4,482.50	Facility		$94.00	$213.84	$4,482.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $116.42 / $181.30	Professional		$65.26	$116.42	$181.30
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 $67.28 / $116.38 / $178.78	Professional		$67.28	$116.38	$178.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.92 / $173.79 / $255.00	Professional	50	$100.92	$173.79	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $1,306.21 / $1,351.93	Facility		$119.82	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $166.10 / $322.91	Professional		$93.60	$166.10	$322.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $163.43 / $366.88	Professional		$84.08	$163.43	$366.88
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 $149.66 / $231.68 / $332.42	Professional		$149.66	$231.68	$332.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $94.26 / $141.38	Professional		$54.15	$94.26	$141.38