Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.48 / $712.94 / $2,331.21	Facility		$117.48	$712.94	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $111.70 / $226.06	Professional		$99.55	$111.70	$226.06
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 $88.63 / $136.01 / $199.65	Professional		$88.63	$136.01	$199.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $132.94 / $206.80 / $295.82	Professional	50	$132.94	$206.80	$295.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $178.32 / $272.89	Professional		$120.87	$178.32	$272.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $196.74 / $382.52	Professional		$122.08	$196.74	$382.52
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 $136.68 / $225.95 / $350.35	Professional		$136.68	$225.95	$350.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $98.58 / $175.22	Professional		$76.83	$98.58	$175.22