Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $233.17 / $2,331.21	Facility		$100.00	$233.17	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $126.37 / $233.17	Professional		$54.76	$126.37	$233.17
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 $64.64 / $111.96 / $167.57	Professional		$64.64	$111.96	$167.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $201.58 / $403.37	Professional		$91.70	$201.58	$403.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $205.59 / $486.90	Professional		$82.70	$205.59	$486.90
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 $156.80 / $248.15 / $431.51	Professional		$156.80	$248.15	$431.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $104.30 / $158.69	Professional		$53.91	$104.30	$158.69