Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $538.76 / $8,965.00	Facility		$100.00	$538.76	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.28 / $137.08 / $318.89	Professional		$125.28	$137.08	$318.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $194.59 / $282.14	Professional		$126.80	$194.59	$282.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.59 / $254.88 / $384.27	Professional		$171.59	$254.88	$384.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.66 / $283.95 / $553.92	Professional		$174.66	$283.95	$553.92
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.16 / $238.27 / $477.84	Professional		$187.16	$238.27	$477.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.12 / $141.16 / $179.68	Professional		$103.12	$141.16	$179.68