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 $376.44 / $1,479.41 / $1,479.41	Professional		$376.44	$1,479.41	$1,479.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.16 / $430.16 / $2,621.81	Professional		$430.16	$430.16	$2,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $587.36 / $587.36 / $587.36	Facility		$587.36	$587.36	$587.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,460.27 / $2,460.27 / $2,460.27	Professional		$2,460.27	$2,460.27	$2,460.27
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $584.33 / $919.27 / $1,803.53	Professional		$584.33	$919.27	$1,803.53
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.91 / $626.00 / $1,294.29	Professional		$504.91	$626.00	$1,294.29
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