Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $192.11 / $8,965.00	Facility		$100.00	$192.11	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $146.71 / $258.06	Professional		$117.68	$146.71	$258.06
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 $130.84 / $206.96 / $363.27	Professional		$130.84	$206.96	$363.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $321.69 / $666.31	Professional		$138.38	$321.69	$666.31
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 $334.79 / $488.64 / $838.05	Professional		$334.79	$488.64	$838.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $133.55 / $245.66	Professional		$95.39	$133.55	$245.66