Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $349.32 / $2,331.21	Facility		$100.00	$349.32	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $104.37 / $245.82	Professional		$93.54	$104.37	$245.82
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 $97.69 / $149.91 / $217.36	Professional		$97.69	$149.91	$217.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $146.53 / $226.80 / $326.05	Professional	50	$146.53	$226.80	$326.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $182.17 / $268.55	Professional		$128.52	$182.17	$268.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $213.06 / $393.16	Professional		$127.38	$213.06	$393.16
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 $143.82 / $175.29 / $340.40	Professional		$143.82	$175.29	$340.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $100.06 / $136.44	Professional		$79.95	$100.06	$136.44