Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,689.13 / $9,859.00	Facility		$100.00	$2,689.13	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $230.89 / $350.56	Professional		$138.38	$230.89	$350.56
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 $139.47 / $236.36 / $404.26	Professional		$139.47	$236.36	$404.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $209.22 / $354.54 / $655.26	Professional	50	$209.22	$354.54	$655.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $332.86 / $696.92	Professional		$177.07	$332.86	$696.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $368.63 / $774.90	Professional		$158.22	$368.63	$774.90
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 $290.94 / $489.92 / $1,110.08	Professional		$290.94	$489.92	$1,110.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $185.93 / $661.16	Professional		$106.23	$185.93	$661.16