Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $364.33 / $8,430.58	Facility		$100.00	$364.33	$8,430.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.16 / $229.38 / $356.61	Professional		$126.16	$229.38	$356.61
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 $92.92 / $158.63 / $253.09	Professional		$92.92	$158.63	$253.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $1,751.69 / $1,812.99	Facility		$161.41	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $289.31 / $617.96	Professional		$135.19	$289.31	$617.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $256.77 / $596.74	Professional		$115.61	$256.77	$596.74
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 $273.98 / $402.71 / $866.19	Professional		$273.98	$402.71	$866.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $203.72 / $344.08	Professional		$115.37	$203.72	$344.08