Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $937.13 / $6,067.00	Facility		$100.00	$937.13	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $228.37 / $379.57	Professional		$148.96	$228.37	$379.57
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 $151.06 / $264.85 / $368.68	Professional		$151.06	$264.85	$368.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $226.59 / $387.48 / $542.46	Professional	50	$226.59	$387.48	$542.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $365.29 / $662.09	Professional		$220.64	$365.29	$662.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $208.07 / $416.99 / $928.51	Professional		$208.07	$416.99	$928.51
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 $355.39 / $432.30 / $825.34	Professional		$355.39	$432.30	$825.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $223.41 / $312.77	Professional		$132.68	$223.41	$312.77