Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $209.84 / $8,965.00	Facility		$100.00	$209.84	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $152.97 / $221.26	Professional		$122.95	$152.97	$221.26
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 $120.01 / $199.96 / $284.88	Professional		$120.01	$199.96	$284.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.55 / $208.55 / $208.55	Facility		$208.55	$208.55	$208.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $252.99 / $375.80	Professional		$167.72	$252.99	$375.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $250.11 / $478.16	Professional		$148.86	$250.11	$478.16
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 $170.34 / $234.55 / $438.08	Professional		$170.34	$234.55	$438.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $132.08 / $177.08	Professional		$95.73	$132.08	$177.08