Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $323.27 / $8,965.00	Facility		$100.00	$323.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $120.58 / $211.90	Professional		$72.87	$120.58	$211.90
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 $53.53 / $92.32 / $147.04	Professional		$53.53	$92.32	$147.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.05 / $137.86 / $220.56	Professional	50	$80.05	$137.86	$220.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $1,306.21 / $1,351.93	Facility		$93.73	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $141.22 / $246.74	Professional		$76.61	$141.22	$246.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $127.20 / $269.42	Professional		$66.70	$127.20	$269.42
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 $113.64 / $188.37 / $287.18	Professional		$113.64	$188.37	$287.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $82.27 / $150.59	Professional		$47.44	$82.27	$150.59