Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $751.87 / $6,067.00	Facility		$100.00	$751.87	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $165.10 / $480.21	Professional		$100.73	$165.10	$480.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.36 / $246.98 / $415.85	Professional		$154.36	$246.98	$415.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $331.71 / $596.11	Professional		$184.38	$331.71	$596.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $164.13 / $363.91 / $740.61	Professional		$164.13	$363.91	$740.61
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 $287.77 / $369.19 / $714.75	Professional		$287.77	$369.19	$714.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $140.03 / $200.72	Professional		$100.02	$140.03	$200.72