Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,048.86 / $6,067.00	Facility		$100.00	$1,048.86	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $255.31 / $440.26	Professional		$171.65	$255.31	$440.26
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 $175.96 / $305.54 / $436.36	Professional		$175.96	$305.54	$436.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $263.94 / $458.31 / $631.89	Professional	50	$263.94	$458.31	$631.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.11 / $424.54 / $771.53	Professional		$257.11	$424.54	$771.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $242.37 / $487.99 / $1,102.16	Professional		$242.37	$487.99	$1,102.16
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 $420.38 / $495.26 / $958.98	Professional		$420.38	$495.26	$958.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $200.77 / $311.56	Professional		$143.41	$200.77	$311.56