Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $490.89 / $8,965.00	Facility		$100.00	$490.89	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $121.00 / $282.33	Professional		$113.01	$121.00	$282.33
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 $112.89 / $173.24 / $251.19	Professional		$112.89	$173.24	$251.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.33 / $259.86 / $376.79	Professional	50	$169.33	$259.86	$376.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.07 / $230.92 / $345.51	Professional		$155.07	$230.92	$345.51
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $250.59 / $486.95	Professional		$155.49	$250.59	$486.95
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 $186.28 / $248.99 / $486.95	Professional		$186.28	$248.99	$486.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $129.30 / $174.93	Professional		$92.36	$129.30	$174.93