Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $584.74 / $8,965.00	Facility		$100.00	$584.74	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $170.99 / $327.85	Professional		$91.16	$170.99	$327.85
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 $92.51 / $156.87 / $240.40	Professional		$92.51	$156.87	$240.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.36 / $225.80 / $414.83	Professional		$126.36	$225.80	$414.83
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $267.45 / $607.27	Professional		$127.43	$267.45	$607.27
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 $233.76 / $269.89 / $522.59	Professional		$233.76	$269.89	$522.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $105.03 / $169.68	Professional		$75.02	$105.03	$169.68