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 $491.63 / $491.63 / $905.38	Professional		$491.63	$491.63	$905.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.90 / $9,132.04 / $17,364.89	Facility		$3,476.90	$9,132.04	$17,364.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.12 / $806.80 / $806.80	Professional		$726.12	$806.80	$806.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.85 / $1,424.79 / $2,205.21	Professional		$696.85	$1,424.79	$2,205.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $839.47 / $1,452.12 / $2,591.02	Professional		$839.47	$1,452.12	$2,591.02
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.59 / $1,162.27 / $2,258.02	Professional		$736.59	$1,162.27	$2,258.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00