Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $209.72 / $8,965.00	Facility		$100.00	$209.72	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $148.41 / $209.73	Professional		$102.90	$148.41	$209.73
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 $124.24 / $218.84 / $306.83	Professional		$124.24	$218.84	$306.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.84 / $337.10 / $537.96	Professional		$181.84	$337.10	$537.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $160.32 / $323.41 / $632.04	Professional		$160.32	$323.41	$632.04
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $316.89 / $573.98	Professional		$192.72	$316.89	$573.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $150.05 / $210.07	Professional		$102.80	$150.05	$210.07