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 $84.07 / $177.61 / $303.98	Professional		$84.07	$177.61	$303.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $197.37 / $198.01	Professional		$197.37	$197.37	$198.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $1,306.21 / $1,351.93	Facility		$236.22	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.81 / $983.81 / $983.81	Professional		$983.81	$983.81	$983.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $233.66 / $367.59 / $721.19	Professional		$233.66	$367.59	$721.19
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.95 / $316.32 / $575.79	Professional		$228.95	$316.32	$575.79
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