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 $294.39 / $294.39 / $918.08	Professional		$294.39	$294.39	$918.08
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 $631.87 / $631.87 / $631.87	Professional		$631.87	$631.87	$631.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $919.07 / $919.07 / $919.07	Facility		$919.07	$919.07	$919.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,786.10 / $2,786.10 / $2,786.10	Professional		$2,786.10	$2,786.10	$2,786.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $661.73 / $1,039.78 / $2,042.43	Professional		$661.73	$1,039.78	$2,042.43
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 $506.93 / $679.49 / $1,386.59	Professional		$506.93	$679.49	$1,386.59
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