Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $420.63 / $8,965.00	Facility		$100.00	$420.63	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $105.30 / $247.27	Professional		$97.22	$105.30	$247.27
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 $98.98 / $151.90 / $220.25	Professional		$98.98	$151.90	$220.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $202.36 / $303.33	Professional		$134.22	$202.36	$303.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $225.18 / $439.29	Professional		$136.33	$225.18	$439.29
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 $159.19 / $195.05 / $377.69	Professional		$159.19	$195.05	$377.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $108.51 / $142.16	Professional		$80.38	$108.51	$142.16