Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $412.28 / $6,067.00	Facility		$100.00	$412.28	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $103.09 / $302.11	Professional		$69.45	$103.09	$302.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $140.78 / $237.74	Professional		$81.19	$140.78	$237.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $184.41 / $324.70	Professional		$94.55	$184.41	$324.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $105.91 / $219.81 / $394.99	Professional		$105.91	$219.81	$394.99
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 $123.35 / $187.03 / $452.06	Professional		$123.35	$187.03	$452.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $101.32 / $141.85	Professional		$70.13	$101.32	$141.85