Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $742.45 / $6,067.00	Facility		$100.00	$742.45	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $187.53 / $457.51	Professional		$111.97	$187.53	$457.51
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 $139.87 / $238.07 / $405.66	Professional		$139.87	$238.07	$405.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $355.69 / $589.70	Professional		$189.83	$355.69	$589.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $359.53 / $713.20	Professional		$164.97	$359.53	$713.20
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 $282.06 / $416.86 / $628.78	Professional		$282.06	$416.86	$628.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $165.09 / $232.95	Professional		$109.87	$165.09	$232.95