Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $715.50 / $9,859.00	Facility		$100.00	$715.50	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $204.25 / $204.25	Professional		$118.33	$204.25	$204.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.78 / $314.11 / $497.60	Professional		$175.78	$314.11	$497.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.49 / $396.35 / $489.35	Professional		$249.49	$396.35	$489.35
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $187.66 / $363.82 / $648.21	Professional		$187.66	$363.82	$648.21
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.18 / $320.73 / $944.39	Professional		$196.18	$320.73	$944.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $144.56 / $183.99	Professional		$131.41	$144.56	$183.99