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 $239.59 / $287.35 / $312.58	Professional		$239.59	$287.35	$312.58
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 $91.24 / $137.40 / $212.15	Professional		$91.24	$137.40	$212.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $153.22 / $153.22	Facility		$153.22	$153.22	$153.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.77 / $640.77 / $640.77	Professional		$640.77	$640.77	$640.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $239.14 / $469.73	Professional		$152.19	$239.14	$469.73
United Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $335.29 / $465.65	Professional		$159.80	$335.29	$465.65
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