Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $294.48 / $8,965.00	Facility		$100.00	$294.48	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $82.81 / $211.04	Professional		$73.81	$82.81	$211.04
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 $68.90 / $105.73 / $153.30	Professional		$68.90	$105.73	$153.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $134.08 / $201.82	Professional		$90.47	$134.08	$201.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $150.63 / $287.19	Professional		$93.69	$150.63	$287.19
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 $98.71 / $120.96 / $242.58	Professional		$98.71	$120.96	$242.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $64.81 / $77.77	Professional		$54.08	$64.81	$77.77