Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $796.75 / $8,965.00	Facility		$100.00	$796.75	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $233.40 / $550.17	Professional		$157.47	$233.40	$550.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $250.84 / $374.68	Professional		$159.47	$250.84	$374.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.66 / $368.34 / $623.54	Professional		$224.66	$368.34	$623.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $219.66 / $406.25 / $802.42	Professional		$219.66	$406.25	$802.42
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.68 / $395.28 / $751.39	Professional		$340.68	$395.28	$751.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $181.64 / $242.99	Professional		$129.74	$181.64	$242.99