Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $567.08 / $9,859.00	Facility		$100.00	$567.08	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.42 / $180.43 / $180.43	Professional		$176.42	$180.43	$180.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $403.78 / $666.40	Professional		$196.25	$403.78	$666.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $424.30 / $645.10	Professional		$266.08	$424.30	$645.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $204.86 / $391.11 / $674.57	Professional		$204.86	$391.11	$674.57
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 $251.38 / $332.44 / $733.56	Professional		$251.38	$332.44	$733.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $161.63 / $205.72	Professional		$146.94	$161.63	$205.72