Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.36 / $8,965.00	Facility		$100.00	$239.36	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $108.82 / $202.55	Professional		$67.17	$108.82	$202.55
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 $57.57 / $97.59 / $149.54	Professional		$57.57	$97.59	$149.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.39 / $147.05 / $224.31	Professional	50	$85.39	$147.05	$224.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $1,306.21 / $1,351.93	Facility		$100.02	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $141.32 / $274.39	Professional		$82.18	$141.32	$274.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $133.88 / $271.25	Professional		$71.14	$133.88	$271.25
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 $114.70 / $198.74 / $707.90	Professional		$114.70	$198.74	$707.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $87.41 / $150.50	Professional		$51.37	$87.41	$150.50