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 $215.20 / $215.20 / $413.10	Professional		$215.20	$215.20	$413.10
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 $470.96 / $483.25 / $483.25	Professional		$470.96	$483.25	$483.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.70 / $5,257.46 / $5,441.47	Facility		$395.70	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.19 / $1,442.19 / $1,442.19	Professional		$1,442.19	$1,442.19	$1,442.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $342.53 / $538.87 / $1,057.22	Professional		$342.53	$538.87	$1,057.22
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 / $449.07 / $821.11	Professional		$289.72	$449.07	$821.11
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