Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $580.32 / $8,965.00	Facility		$100.00	$580.32	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $168.53 / $330.80	Professional		$91.43	$168.53	$330.80
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 / $162.19 / $236.36	Professional		$92.51	$162.19	$236.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.53 / $222.91 / $409.54	Professional		$133.53	$222.91	$409.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $263.45 / $598.19	Professional		$127.43	$263.45	$598.19
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.35 / $263.54 / $527.87	Professional		$222.35	$263.54	$527.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $142.09 / $199.99	Professional		$82.00	$142.09	$199.99