Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $306.14 / $8,965.00	Facility		$100.00	$306.14	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $119.73 / $190.20	Professional		$90.71	$119.73	$190.20
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 $103.83 / $171.32 / $238.91	Professional		$103.83	$171.32	$238.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $155.74 / $267.00 / $376.41	Professional	50	$155.74	$267.00	$376.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $1,306.21 / $1,351.93	Facility		$178.35	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.90 / $214.86 / $352.48	Professional		$135.90	$214.86	$352.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $230.48 / $422.93	Professional		$129.76	$230.48	$422.93
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 $145.25 / $207.46 / $375.85	Professional		$145.25	$207.46	$375.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $100.32 / $140.44	Professional		$71.50	$100.32	$140.44