Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $558.61 / $2,678.80	Facility		$100.00	$558.61	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $194.48 / $269.70	Professional		$144.77	$194.48	$269.70
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 $197.68 / $292.17 / $441.15	Professional		$197.68	$292.17	$441.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $2,000.36 / $2,070.38	Facility		$285.79	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.02 / $350.00 / $637.15	Professional		$226.02	$350.00	$637.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $369.06 / $677.18	Professional		$207.76	$369.06	$677.18
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 $244.17 / $349.14 / $1,369.05	Professional		$244.17	$349.14	$1,369.05
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $132.40 / $174.36 / $270.66	Professional		$132.40	$174.36	$270.66