Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $290.38 / $8,965.00	Facility		$100.00	$290.38	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $116.81 / $186.82	Professional		$65.25	$116.81	$186.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $102.95 / $163.96	Professional		$59.59	$102.95	$163.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.28 / $153.72 / $229.37	Professional	50	$89.28	$153.72	$229.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $105.08 / $105.08	Facility		$105.08	$105.08	$105.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $170.61 / $331.99	Professional		$85.82	$170.61	$331.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $162.09 / $355.86	Professional		$72.81	$162.09	$355.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.74 / $219.25 / $375.36	Professional		$154.74	$219.25	$375.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $101.14 / $156.60	Professional		$53.55	$101.14	$156.60