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 / $914.46	Professional		$491.63	$491.63	$914.46
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 $819.01 / $910.02 / $910.02	Professional		$819.01	$910.02	$910.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.85 / $1,636.72 / $2,490.39	Professional		$696.85	$1,636.72	$2,490.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $983.89 / $1,701.93 / $3,036.78	Professional		$983.89	$1,701.93	$3,036.78
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 $792.91 / $1,298.44 / $2,199.01	Professional		$792.91	$1,298.44	$2,199.01
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