Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $394.87 / $6,067.00	Facility		$100.00	$394.87	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $111.38 / $266.10	Professional		$97.26	$111.38	$266.10
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 $106.10 / $162.82 / $236.08	Professional		$106.10	$162.82	$236.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $159.15 / $244.23 / $354.13	Professional	50	$159.15	$244.23	$354.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $199.34 / $284.89	Professional		$140.01	$199.34	$284.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $224.63 / $413.75	Professional		$134.35	$224.63	$413.75
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 $150.37 / $182.54 / $881.57	Professional		$150.37	$182.54	$881.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $100.74 / $120.75	Professional		$86.25	$100.74	$120.75