Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $304.88 / $8,965.00	Facility		$100.00	$304.88	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $237.56 / $445.64	Professional		$189.93	$237.56	$445.64
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 $211.13 / $338.85 / $577.00	Professional		$211.13	$338.85	$577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $226.57 / $520.04 / $1,058.35	Professional		$226.57	$520.04	$1,058.35
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 $653.29 / $855.17 / $1,795.39	Professional		$653.29	$855.17	$1,795.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $215.87 / $424.30	Professional		$154.19	$215.87	$424.30