Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $935.44 / $6,067.00	Facility		$100.00	$935.44	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.49 / $229.41 / $935.44	Professional		$192.49	$229.41	$935.44
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 $297.88 / $444.72 / $656.96	Professional		$297.88	$444.72	$656.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.32 / $535.24 / $740.77	Professional		$326.32	$535.24	$740.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $275.87 / $547.27 / $908.74	Professional		$275.87	$547.27	$908.74
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 $337.13 / $432.18 / $981.52	Professional		$337.13	$432.18	$981.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $231.25 / $364.99	Professional		$192.71	$231.25	$364.99