Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $789.30 / $8,965.00	Facility		$100.00	$789.30	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $197.71 / $304.75	Professional		$181.10	$197.71	$304.75
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 $123.89 / $190.12 / $275.67	Professional		$123.89	$190.12	$275.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $185.83 / $285.18 / $413.51	Professional	50	$185.83	$285.18	$413.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $252.19 / $403.45	Professional		$169.88	$252.19	$403.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $278.12 / $542.55	Professional		$170.64	$278.12	$542.55
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 $217.15 / $280.20 / $468.99	Professional		$217.15	$280.20	$468.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $147.68 / $226.68	Professional		$110.07	$147.68	$226.68