Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $814.04 / $9,859.00	Facility		$100.00	$814.04	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.96 / $199.84 / $260.95	Professional		$156.96	$199.84	$260.95
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 $135.86 / $232.96 / $370.18	Professional		$135.86	$232.96	$370.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.68 / $1,751.69 / $1,812.99	Facility		$159.68	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.14 / $288.69 / $418.04	Professional		$180.14	$288.69	$418.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $155.53 / $255.16 / $480.04	Professional		$155.53	$255.16	$480.04
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.07 / $277.87 / $437.44	Professional		$164.07	$277.87	$437.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $159.84 / $243.32	Professional		$125.59	$159.84	$243.32