Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $778.62 / $8,965.00	Facility		$100.00	$778.62	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $220.69 / $522.26	Professional		$196.13	$220.69	$522.26
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 $211.22 / $324.14 / $470.01	Professional		$211.22	$324.14	$470.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.76 / $390.02 / $565.49	Professional		$276.76	$390.02	$565.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $271.80 / $455.46 / $838.91	Professional		$271.80	$455.46	$838.91
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 $299.04 / $369.47 / $715.42	Professional		$299.04	$369.47	$715.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $198.42 / $237.83	Professional		$169.88	$198.42	$237.83