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 $719.28 / $719.28 / $800.00	Professional		$719.28	$719.28	$800.00
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 $340.97 / $340.97 / $340.97	Professional		$340.97	$340.97	$340.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.18 / $653.28 / $893.13	Professional		$393.18	$653.28	$893.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $331.79 / $658.20 / $1,092.95	Professional		$331.79	$658.20	$1,092.95
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 $331.79 / $450.38 / $871.94	Professional		$331.79	$450.38	$871.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $199.55 / $219.51 / $279.37	Professional		$199.55	$219.51	$279.37