Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.24 / $403.55 / $508.07	Professional		$355.24	$403.55	$508.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.96 / $1,139.75 / $1,669.86	Facility		$449.96	$1,139.75	$1,669.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.30 / $636.19 / $899.98	Professional		$465.30	$636.19	$899.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.50 / $439.50 / $439.50	Facility		$439.50	$439.50	$439.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.19 / $692.46 / $1,149.06	Professional		$406.19	$692.46	$1,149.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $437.32 / $687.99 / $1,349.79	Professional		$437.32	$687.99	$1,349.79
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.67 / $550.90 / $1,084.23	Professional		$312.67	$550.90	$1,084.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00