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 $221.15 / $260.17 / $282.18	Professional		$221.15	$260.17	$282.18
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 $148.21 / $241.45 / $327.02	Professional		$148.21	$241.45	$327.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $364.55 / $364.55	Facility		$364.55	$364.55	$364.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,526.35 / $1,526.35 / $1,526.35	Professional		$1,526.35	$1,526.35	$1,526.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $362.52 / $570.32 / $1,118.92	Professional		$362.52	$570.32	$1,118.92
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 $289.57 / $368.08 / $679.48	Professional		$289.57	$368.08	$679.48
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