Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $526.41 / $6,067.00	Facility		$100.00	$526.41	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.08 / $189.43 / $322.99	Professional		$124.08	$189.43	$322.99
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 $58.58 / $100.40 / $160.16	Professional		$58.58	$100.40	$160.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $1,751.69 / $1,812.99	Facility		$101.84	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $222.26 / $468.61	Professional		$84.92	$222.26	$468.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $179.89 / $425.73	Professional		$73.16	$179.89	$425.73
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 $263.98 / $376.95 / $742.77	Professional		$263.98	$376.95	$742.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $225.69 / $372.72	Professional		$130.02	$225.69	$372.72