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 $354.95 / $400.29 / $444.68	Professional		$354.95	$400.29	$444.68
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 $89.60 / $148.35 / $208.83	Professional		$89.60	$148.35	$208.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.74 / $5,257.46 / $5,441.47	Facility		$417.74	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.42 / $1,646.42 / $1,646.42	Professional		$1,646.42	$1,646.42	$1,646.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $391.04 / $615.17 / $1,206.94	Professional		$391.04	$615.17	$1,206.94
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 $418.21 / $581.19 / $2,362.71	Professional		$418.21	$581.19	$2,362.71
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