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 $54.40 / $167.50 / $533.92	Professional		$54.40	$167.50	$533.92
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 $190.61 / $190.61 / $193.35	Professional		$190.61	$190.61	$193.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.02 / $1,306.21 / $1,351.93	Facility		$213.02	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.71 / $888.71 / $888.71	Professional		$888.71	$888.71	$888.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $211.07 / $332.06 / $651.47	Professional		$211.07	$332.06	$651.47
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 $208.57 / $263.16 / $515.54	Professional		$208.57	$263.16	$515.54
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