Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $829.92 / $8,965.00	Facility		$100.00	$829.92	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.33 / $220.58 / $288.27	Professional		$109.33	$220.58	$288.27
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 $112.89 / $205.46 / $317.14	Professional		$112.89	$205.46	$317.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.33 / $296.89 / $459.38	Professional	50	$169.33	$296.89	$459.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.29 / $351.35 / $651.91	Professional		$164.29	$351.35	$651.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $362.81 / $865.36	Professional		$155.49	$362.81	$865.36
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 $344.78 / $428.45 / $829.61	Professional		$344.78	$428.45	$829.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $188.39 / $315.87	Professional		$95.52	$188.39	$315.87