Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $271.39 / $2,331.21	Facility		$100.00	$271.39	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $76.09 / $187.11	Professional		$67.87	$76.09	$187.11
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 $62.43 / $95.81 / $138.91	Professional		$62.43	$95.81	$138.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $119.47 / $178.47	Professional		$84.80	$119.47	$178.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $136.50 / $261.07	Professional		$85.17	$136.50	$261.07
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 $91.18 / $110.01 / $213.02	Professional		$91.18	$110.01	$213.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $56.69 / $68.03	Professional		$47.13	$56.69	$68.03