Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $689.07 / $2,678.80	Facility		$100.00	$689.07	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.83 / $296.91 / $423.20	Professional		$172.83	$296.91	$423.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.82 / $309.51 / $443.43	Professional		$182.82	$309.51	$443.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $2,000.36 / $2,070.38	Facility		$310.52	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.50 / $472.93 / $923.39	Professional		$254.50	$472.93	$923.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $430.16 / $907.55	Professional		$225.56	$430.16	$907.55
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.44 / $602.57 / $1,029.11	Professional		$416.44	$602.57	$1,029.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $144.04 / $201.66 / $329.70	Professional		$144.04	$201.66	$329.70