Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $675.36 / $8,965.00	Facility		$100.00	$675.36	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $198.18 / $467.11	Professional		$138.69	$198.18	$467.11
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 $141.35 / $227.18 / $322.27	Professional		$141.35	$227.18	$322.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $212.02 / $340.78 / $483.40	Professional	50	$212.02	$340.78	$483.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $320.04 / $523.42	Professional		$193.78	$320.04	$523.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $194.70 / $346.65 / $732.12	Professional		$194.70	$346.65	$732.12
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 $257.56 / $324.11 / $632.54	Professional		$257.56	$324.11	$632.54
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $114.17 / $159.84 / $205.16	Professional		$114.17	$159.84	$205.16