Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $770.86 / $8,965.00	Facility		$100.00	$770.86	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $176.98 / $225.95	Professional		$69.86	$176.98	$225.95
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 $65.98 / $121.52 / $194.84	Professional		$65.98	$121.52	$194.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.98 / $173.55 / $283.14	Professional	50	$98.98	$173.55	$283.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $228.60 / $442.47	Professional		$94.29	$228.60	$442.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $90.89 / $221.59 / $614.07	Professional		$90.89	$221.59	$614.07
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 $245.13 / $285.83 / $535.98	Professional		$245.13	$285.83	$535.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $145.29 / $217.94	Professional		$60.03	$145.29	$217.94