Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $785.48 / $6,067.00	Facility		$100.00	$785.48	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $192.36 / $255.79	Professional		$120.06	$192.36	$255.79
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 $149.61 / $247.69 / $415.22	Professional		$149.61	$247.69	$415.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $224.41 / $371.53 / $622.83	Professional	50	$224.41	$371.53	$622.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $370.55 / $600.08	Professional		$198.66	$370.55	$600.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $174.25 / $374.13 / $734.90	Professional		$174.25	$374.13	$734.90
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 $250.11 / $372.89 / $648.42	Professional		$250.11	$372.89	$648.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $169.97 / $245.45	Professional		$116.51	$169.97	$245.45