Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $338.41 / $8,965.00	Facility		$100.00	$338.41	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $135.88 / $191.40	Professional		$74.06	$135.88	$191.40
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 $52.72 / $91.20 / $145.26	Professional		$52.72	$91.20	$145.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.08 / $136.19 / $217.89	Professional	50	$79.08	$136.19	$217.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $1,306.21 / $1,351.93	Facility		$92.61	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $158.88 / $273.31	Professional		$76.93	$158.88	$273.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $134.35 / $301.60	Professional		$65.89	$134.35	$301.60
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 $128.24 / $197.02 / $794.68	Professional		$128.24	$197.02	$794.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $93.99 / $134.27	Professional		$47.76	$93.99	$134.27