Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $224.97 / $627.19	Professional		$224.97	$224.97	$627.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.96 / $1,139.75 / $10,604.00	Facility		$449.96	$1,139.75	$10,604.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $468.90 / $468.90	Professional		$458.50	$468.90	$468.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.20 / $847.20 / $847.20	Facility		$847.20	$847.20	$847.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,526.70 / $3,526.70 / $3,526.70	Professional		$3,526.70	$3,526.70	$3,526.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $837.62 / $1,316.15 / $2,585.31	Professional		$837.62	$1,316.15	$2,585.31
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 $756.80 / $968.14 / $1,833.04	Professional		$756.80	$968.14	$1,833.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00