Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $278.27 / $8,965.00	Facility		$100.00	$278.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $174.87 / $286.41	Professional		$79.45	$174.87	$286.41
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 $82.48 / $142.69 / $227.25	Professional		$82.48	$142.69	$227.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.72 / $213.07 / $312.64	Professional	50	$123.72	$213.07	$312.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $1,306.21 / $1,351.93	Facility		$143.26	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $249.73 / $570.29	Professional		$116.32	$249.73	$570.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $262.64 / $621.57	Professional		$103.08	$262.64	$621.57
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 $243.01 / $346.35 / $621.78	Professional		$243.01	$346.35	$621.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $168.23 / $258.92	Professional		$66.66	$168.23	$258.92