Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $948.08 / $8,965.00	Facility		$100.00	$948.08	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.96 / $285.06 / $453.46	Professional		$126.96	$285.06	$453.46
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 $127.12 / $222.89 / $345.45	Professional		$127.12	$222.89	$345.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $369.53 / $679.21	Professional		$184.77	$369.53	$679.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $401.94 / $985.25	Professional		$175.10	$401.94	$985.25
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 $364.52 / $443.96 / $868.16	Professional		$364.52	$443.96	$868.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $143.74 / $282.85	Professional		$102.67	$143.74	$282.85