Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $267.72 / $8,965.00	Facility		$100.00	$267.72	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $76.36 / $166.51	Professional		$65.79	$76.36	$166.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $102.75 / $148.97	Professional		$66.95	$102.75	$148.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.44 / $154.12 / $223.48	Professional	50	$100.44	$154.12	$223.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $128.16 / $193.19	Professional		$88.35	$128.16	$193.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $146.38 / $278.08	Professional		$90.72	$146.38	$278.08
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $133.38 / $242.33	Professional		$97.00	$133.38	$242.33
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $71.40 / $94.97	Professional		$54.77	$71.40	$94.97