Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $754.00 / $8,965.00	Facility		$100.00	$754.00	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $181.84 / $313.67	Professional		$131.94	$181.84	$313.67
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 $127.45 / $211.31 / $305.10	Professional		$127.45	$211.31	$305.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $191.17 / $324.16 / $457.65	Professional	50	$191.17	$324.16	$457.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.28 / $293.20 / $517.60	Professional		$184.28	$293.20	$517.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $340.40 / $727.58	Professional		$175.55	$340.40	$727.58
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 $280.04 / $329.50 / $638.01	Professional		$280.04	$329.50	$638.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $172.52 / $241.53	Professional		$114.21	$172.52	$241.53