Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $313.11 / $8,965.00	Facility		$100.00	$313.11	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $88.58 / $115.56	Professional		$72.39	$88.58	$115.56
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 $44.96 / $69.00 / $101.67	Professional		$44.96	$69.00	$101.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.44 / $106.08 / $150.07	Professional	50	$67.44	$106.08	$150.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $89.50 / $181.75	Professional		$61.35	$89.50	$181.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $94.33 / $173.74	Professional		$56.93	$94.33	$173.74
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 $80.91 / $106.88 / $187.55	Professional		$80.91	$106.88	$187.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $54.07 / $64.81	Professional		$46.29	$54.07	$64.81