Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $245.90 / $8,965.00	Facility		$100.00	$245.90	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $125.82 / $201.28	Professional		$77.44	$125.82	$201.28
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 $74.06 / $127.55 / $193.93	Professional		$74.06	$127.55	$193.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $111.10 / $191.33 / $280.75	Professional	50	$111.10	$191.33	$280.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $1,306.21 / $1,351.93	Facility		$128.72	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $189.03 / $361.36	Professional		$105.84	$189.03	$361.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $178.84 / $397.22	Professional		$92.57	$178.84	$397.22
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 $162.22 / $227.80 / $401.70	Professional		$162.22	$227.80	$401.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $111.94 / $168.79	Professional		$59.08	$111.94	$168.79