Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $620.87 / $8,965.00	Facility		$100.00	$620.87	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $180.57 / $313.76	Professional		$121.87	$180.57	$313.76
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 $126.80 / $199.45 / $290.39	Professional		$126.80	$199.45	$290.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.79 / $287.92 / $466.85	Professional		$173.79	$287.92	$466.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.66 / $313.33 / $661.74	Professional		$174.66	$313.33	$661.74
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 $232.51 / $301.77 / $606.07	Professional		$232.51	$301.77	$606.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $143.74 / $185.46	Professional		$102.67	$143.74	$185.46