Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $705.73 / $9,859.00	Facility		$100.00	$705.73	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $179.85 / $424.10	Professional		$115.14	$179.85	$424.10
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 $146.10 / $236.20 / $388.51	Professional		$146.10	$236.20	$388.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $219.15 / $354.30 / $582.77	Professional	50	$219.15	$354.30	$582.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $353.86 / $569.42	Professional		$189.71	$353.86	$569.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $170.03 / $352.90 / $690.33	Professional		$170.03	$352.90	$690.33
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 $267.70 / $347.47 / $604.23	Professional		$267.70	$347.47	$604.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $158.04 / $221.26	Professional		$113.27	$158.04	$221.26