Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $11,351.00	Facility		$100.00	$100.00	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.92 / $613.76 / $613.76	Professional		$514.92	$613.76	$613.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.10 / $625.10 / $679.66	Professional		$625.10	$625.10	$679.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.72 / $5,257.46 / $5,441.47	Facility		$608.72	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,536.67 / $2,536.67 / $2,536.67	Professional		$2,536.67	$2,536.67	$2,536.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $602.48 / $947.82 / $1,859.55	Professional		$602.48	$947.82	$1,859.55
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.51 / $845.60 / $1,601.16	Professional		$598.51	$845.60	$1,601.16
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