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 $263.87 / $291.38 / $316.08	Professional		$263.87	$291.38	$316.08
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 $189.45 / $308.55 / $402.07	Professional		$189.45	$308.55	$402.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $1,306.21 / $1,351.93	Facility		$379.05	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.45 / $1,819.45 / $1,819.45	Professional		$1,819.45	$1,819.45	$1,819.45
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $432.14 / $679.84 / $1,333.80	Professional		$432.14	$679.84	$1,333.80
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $324.32 / $412.19 / $769.08	Professional		$324.32	$412.19	$769.08
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