Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $413.27 / $8,965.00	Facility		$100.00	$413.27	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $118.77 / $278.26	Professional		$104.17	$118.77	$278.26
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 $113.54 / $174.24 / $252.64	Professional		$113.54	$174.24	$252.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $170.31 / $261.36 / $378.97	Professional	50	$170.31	$261.36	$378.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $210.90 / $314.20	Professional		$150.18	$210.90	$314.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $247.64 / $462.46	Professional		$147.01	$247.64	$462.46
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 $154.76 / $186.77 / $384.59	Professional		$154.76	$186.77	$384.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $116.71 / $155.46	Professional		$90.53	$116.71	$155.46