Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $970.19 / $9,859.00	Facility		$100.00	$970.19	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.23 / $237.24 / $825.80	Professional		$205.23	$237.24	$825.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.30 / $804.82 / $1,185.19	Professional		$460.30	$804.82	$1,185.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.24 / $931.65 / $1,338.82	Professional		$514.24	$931.65	$1,338.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $497.68 / $987.30 / $1,639.41	Professional		$497.68	$987.30	$1,639.41
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 $381.67 / $683.60 / $1,521.09	Professional		$381.67	$683.60	$1,521.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $230.39 / $402.40 / $617.24	Professional		$230.39	$402.40	$617.24