Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $677.52 / $8,965.00	Facility		$100.00	$677.52	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $193.24 / $462.83	Professional		$188.57	$193.24	$462.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.67 / $292.05 / $503.69	Professional		$185.67	$292.05	$503.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $337.12 / $442.28	Professional		$234.00	$337.12	$442.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $233.80 / $381.82 / $756.23	Professional		$233.80	$381.82	$756.23
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $267.79 / $563.03	Professional		$235.16	$267.79	$563.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $164.91 / $209.89	Professional		$149.91	$164.91	$209.89