Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $436.43 / $2,331.21	Facility		$100.00	$436.43	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $130.09 / $150.13	Professional		$114.08	$130.09	$150.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $205.98 / $329.53	Professional		$114.83	$205.98	$329.53
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 $140.53 / $224.24 / $397.76	Professional		$140.53	$224.24	$397.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $227.40 / $405.75	Professional		$131.46	$227.40	$405.75
United Facility/Professional Facility Modifier Low / Median / High Price $854.00 / $4,487.00 / $9,949.00	Facility		$854.00	$4,487.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $182.05 / $438.45	Professional		$120.42	$182.05	$438.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $101.26 / $128.87	Professional		$92.05	$101.26	$128.87