Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $518.27 / $8,965.00	Facility		$100.00	$518.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $152.53 / $377.61	Professional		$141.68	$152.53	$377.61
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 $144.91 / $222.39 / $322.45	Professional		$144.91	$222.39	$322.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $217.36 / $333.58 / $483.69	Professional	50	$217.36	$333.58	$483.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.17 / $267.95 / $370.64	Professional		$191.17	$267.95	$370.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $298.00 / $546.46	Professional		$183.50	$298.00	$546.46
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 $194.23 / $238.64 / $463.42	Professional		$194.23	$238.64	$463.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $136.44 / $164.72	Professional		$117.66	$136.44	$164.72