Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.41 / $9,859.00	Facility		$100.00	$177.41	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $58.68 / $177.41	Professional		$52.50	$58.68	$177.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $89.76 / $143.21	Professional		$62.71	$89.76	$143.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $104.78 / $149.61	Professional		$64.65	$104.78	$149.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $118.27 / $196.39	Professional		$59.62	$118.27	$196.39
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 $71.84 / $94.77 / $194.03	Professional		$71.84	$94.77	$194.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $48.06 / $61.17	Professional		$43.69	$48.06	$61.17