Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $550.58 / $8,965.00	Facility		$100.00	$550.58	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $135.78 / $265.13	Professional		$104.58	$135.78	$265.13
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 $107.39 / $173.73 / $254.95	Professional		$107.39	$173.73	$254.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $161.08 / $260.07 / $382.42	Professional	50	$161.08	$260.07	$382.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $248.09 / $421.30	Professional		$151.38	$248.09	$421.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $278.27 / $594.79	Professional		$147.91	$278.27	$594.79
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 $198.41 / $264.60 / $513.82	Professional		$198.41	$264.60	$513.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $121.56 / $166.45	Professional		$86.83	$121.56	$166.45