Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $352.32 / $2,331.21	Facility		$100.00	$352.32	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $110.60 / $186.38	Professional		$102.25	$110.60	$186.38
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 $76.66 / $117.65 / $170.59	Professional		$76.66	$117.65	$170.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.99 / $176.47 / $255.88	Professional	50	$114.99	$176.47	$255.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $150.84 / $237.07	Professional		$105.56	$150.84	$237.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.17 / $167.61 / $322.38	Professional		$105.17	$167.61	$322.38
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 $122.91 / $158.15 / $270.74	Professional		$122.91	$158.15	$270.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $85.40 / $117.41	Professional		$67.05	$85.40	$117.41