Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $897.81 / $6,067.00	Facility		$100.00	$897.81	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $268.52 / $456.37	Professional		$130.77	$268.52	$456.37
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 $132.94 / $226.97 / $355.55	Professional		$132.94	$226.97	$355.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.41 / $338.16 / $477.41	Professional	50	$199.41	$338.16	$477.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.42 / $335.10 / $616.04	Professional		$193.42	$335.10	$616.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $183.12 / $394.93 / $896.72	Professional		$183.12	$394.93	$896.72
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 $344.01 / $453.24 / $834.53	Professional		$344.01	$453.24	$834.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $150.60 / $259.16	Professional		$107.57	$150.60	$259.16