Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $617.67 / $8,965.00	Facility		$100.00	$617.67	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $187.53 / $564.84	Professional		$134.97	$187.53	$564.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $269.02 / $377.20	Professional		$160.60	$269.02	$377.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.87 / $416.42 / $671.44	Professional		$228.87	$416.42	$671.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $401.06 / $750.91	Professional		$206.74	$401.06	$750.91
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.02 / $354.14 / $865.60	Professional		$292.02	$354.14	$865.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $173.21 / $241.39	Professional		$123.72	$173.21	$241.39