Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $754.87 / $6,067.00	Facility		$100.00	$754.87	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $223.35 / $361.79	Professional		$141.16	$223.35	$361.79
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 $143.62 / $237.83 / $339.84	Professional		$143.62	$237.83	$339.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $215.43 / $361.08 / $509.76	Professional	50	$215.43	$361.08	$509.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $329.46 / $561.96	Professional		$201.60	$329.46	$561.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $197.82 / $370.14 / $791.15	Professional		$197.82	$370.14	$791.15
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.77 / $364.43 / $691.50	Professional		$299.77	$364.43	$691.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $124.51 / $187.11 / $261.95	Professional		$124.51	$187.11	$261.95