Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $266.82 / $8,965.00	Facility		$100.00	$266.82	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $90.49 / $125.68	Professional		$71.93	$90.49	$125.68
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 $66.66 / $108.63 / $152.53	Professional		$66.66	$108.63	$152.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.98 / $169.68 / $237.25	Professional	50	$98.98	$169.68	$237.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $115.70 / $115.70	Facility		$115.70	$115.70	$115.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $140.94 / $223.39	Professional		$94.33	$140.94	$223.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $145.01 / $268.76	Professional		$82.46	$145.01	$268.76
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 $104.83 / $136.04 / $618.16	Professional		$104.83	$136.04	$618.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $75.93 / $96.64	Professional		$52.80	$75.93	$96.64