Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $622.01 / $8,965.00	Facility		$100.00	$622.01	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $183.61 / $245.58	Professional		$180.24	$183.61	$245.58
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 $195.70 / $335.58 / $519.25	Professional		$195.70	$335.58	$519.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $1,306.21 / $1,351.93	Facility		$225.06	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.22 / $368.16 / $609.24	Professional		$246.22	$368.16	$609.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $367.54 / $691.47	Professional		$224.03	$367.54	$691.47
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.25 / $278.95 / $567.12	Professional		$204.25	$278.95	$567.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $165.37 / $210.48	Professional		$150.34	$165.37	$210.48