Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,965.00	Facility		$100.00	$100.00	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $114.89 / $134.78	Professional		$73.26	$114.89	$134.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $159.88 / $259.24	Professional		$92.83	$159.88	$259.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $182.98 / $289.89	Professional		$119.38	$182.98	$289.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $167.20 / $328.03	Professional		$106.28	$167.20	$328.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $7,448.00	Facility		$3,360.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $161.11 / $299.81	Professional		$106.82	$161.11	$299.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $87.22 / $111.01	Professional		$79.29	$87.22	$111.01