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 $192.02 / $215.20 / $308.45	Professional		$192.02	$215.20	$308.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.77 / $360.77 / $360.77	Professional		$360.77	$360.77	$360.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $5,257.46 / $5,441.47	Facility		$205.15	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.43 / $1,027.43 / $1,027.43	Professional		$1,027.43	$1,027.43	$1,027.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $383.91 / $753.20	Professional		$244.03	$383.91	$753.20
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.72 / $441.96 / $941.36	Professional		$289.72	$441.96	$941.36
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