Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $216.02 / $2,207.32	Facility		$100.00	$216.02	$2,207.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $128.43 / $197.46	Professional		$65.51	$128.43	$197.46
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 $65.20 / $120.86 / $192.49	Professional		$65.20	$120.86	$192.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $97.80 / $180.48 / $264.83	Professional	50	$97.80	$180.48	$264.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $1,306.21 / $1,351.93	Facility		$123.26	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $196.78 / $382.50	Professional		$98.60	$196.78	$382.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $190.63 / $430.32	Professional		$87.31	$190.63	$430.32
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 $161.63 / $231.21 / $363.55	Professional		$161.63	$231.21	$363.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $99.12 / $148.68	Professional		$46.27	$99.12	$148.68