Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $462.00 / $3,568.97	Facility		$100.00	$462.00	$3,568.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $112.23 / $225.76	Professional		$53.27	$112.23	$225.76
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 $68.18 / $122.92 / $222.32	Professional		$68.18	$122.92	$222.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $179.77 / $354.40	Professional		$86.94	$179.77	$354.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $192.31 / $434.30	Professional		$78.06	$192.31	$434.30
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $224.33 / $390.10	Professional		$174.38	$224.33	$390.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $95.74 / $143.61	Professional		$52.32	$95.74	$143.61