Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $68.06 / $82.57	Professional		$55.33	$68.06	$82.57
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 $73.20 / $113.25 / $173.21	Professional		$73.20	$113.25	$173.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $125.89 / $200.41	Professional		$76.31	$125.89	$200.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $173.68 / $313.56	Professional		$88.13	$173.68	$313.56
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $122.97 / $261.80	Professional		$71.52	$122.97	$261.80
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