Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $399.91 / $2,331.21	Facility		$100.00	$399.91	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $123.63 / $323.82	Professional		$115.80	$123.63	$323.82
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 $118.39 / $181.68 / $263.43	Professional		$118.39	$181.68	$263.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.58 / $272.52 / $395.15	Professional	50	$177.58	$272.52	$395.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $219.49 / $318.58	Professional		$156.41	$219.49	$318.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $248.82 / $458.31	Professional		$149.91	$248.82	$458.31
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 $162.47 / $181.18 / $391.30	Professional		$162.47	$181.18	$391.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $115.79 / $157.88	Professional		$94.72	$115.79	$157.88