Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $820.31 / $8,965.00	Facility		$100.00	$820.31	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $246.07 / $381.83	Professional		$109.79	$246.07	$381.83
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 $110.95 / $204.32 / $311.58	Professional		$110.95	$204.32	$311.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $166.42 / $291.80 / $451.50	Professional	50	$166.42	$291.80	$451.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.38 / $331.99 / $625.13	Professional		$166.38	$331.99	$625.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $356.09 / $806.61	Professional		$152.82	$356.09	$806.61
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 $343.93 / $419.34 / $770.70	Professional		$343.93	$419.34	$770.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $172.87 / $293.33	Professional		$96.36	$172.87	$293.33