Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $265.99 / $8,965.00	Facility		$100.00	$265.99	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $106.76 / $203.78	Professional		$66.98	$106.76	$203.78
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 $53.70 / $90.83 / $147.91	Professional		$53.70	$90.83	$147.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.55 / $138.07 / $221.89	Professional	50	$80.55	$138.07	$221.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $1,306.21 / $1,351.93	Facility		$94.98	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $133.76 / $258.83	Professional		$75.48	$133.76	$258.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $122.91 / $237.24	Professional		$67.09	$122.91	$237.24
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 $95.54 / $174.20 / $250.86	Professional		$95.54	$174.20	$250.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $73.59 / $126.71	Professional		$48.72	$73.59	$126.71