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 $254.09 / $289.18 / $320.33	Professional		$254.09	$289.18	$320.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $188.98 / $290.30	Professional		$115.96	$188.98	$290.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.45 / $314.45 / $314.45	Facility		$314.45	$314.45	$314.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.03 / $1,188.03 / $1,188.03	Professional		$1,188.03	$1,188.03	$1,188.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $282.17 / $443.91 / $870.92	Professional		$282.17	$443.91	$870.92
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $424.66 / $760.89	Professional		$306.64	$424.66	$760.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $5,306.36 / $5,837.00 / $7,428.90	Professional		$5,306.36	$5,837.00	$7,428.90