Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $364.61 / $8,965.00	Facility		$100.00	$364.61	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $108.80 / $178.69	Professional		$86.98	$108.80	$178.69
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 $109.87 / $167.91 / $245.39	Professional		$109.87	$167.91	$245.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $214.00 / $290.38	Professional		$134.35	$214.00	$290.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $210.84 / $350.10	Professional		$106.28	$210.84	$350.10
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 $127.80 / $169.99 / $295.60	Professional		$127.80	$169.99	$295.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $91.91 / $145.06	Professional		$76.59	$91.91	$145.06