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 $479.05 / $1,142.95 / $13,531.45	Professional		$479.05	$1,142.95	$13,531.45
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 $666.17 / $666.17 / $672.50	Professional		$666.17	$666.17	$672.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.08 / $989.08 / $989.08	Facility		$989.08	$989.08	$989.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,832.91 / $2,832.91 / $2,832.91	Professional		$2,832.91	$2,832.91	$2,832.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $672.84 / $1,057.23 / $2,076.71	Professional		$672.84	$1,057.23	$2,076.71
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 $542.51 / $946.78 / $1,751.31	Professional		$542.51	$946.78	$1,751.31
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