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 $454.10 / $644.51 / $699.02	Professional		$454.10	$644.51	$699.02
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 $511.86 / $511.86 / $521.47	Professional		$511.86	$511.86	$521.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.90 / $506.90 / $506.90	Facility		$506.90	$506.90	$506.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,112.61 / $2,112.61 / $2,112.61	Professional		$2,112.61	$2,112.61	$2,112.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $501.76 / $760.97 / $1,548.68	Professional		$501.76	$760.97	$1,548.68
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.76 / $871.23 / $1,401.31	Professional		$501.76	$871.23	$1,401.31
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