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 $192.80 / $192.80 / $271.95	Professional		$192.80	$192.80	$271.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.32 / $294.32 / $294.32	Professional		$294.32	$294.32	$294.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.94 / $345.94 / $345.94	Facility		$345.94	$345.94	$345.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.61 / $1,058.61 / $1,058.61	Professional		$1,058.61	$1,058.61	$1,058.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $395.55 / $776.04	Professional		$251.43	$395.55	$776.04
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.79 / $433.99 / $802.94	Professional		$317.79	$433.99	$802.94
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