Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $862.23 / $8,965.00	Facility		$100.00	$862.23	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.01 / $367.19 / $862.23	Professional		$213.01	$367.19	$862.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.98 / $399.32 / $620.91	Professional		$242.98	$399.32	$620.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.48 / $434.20 / $693.58	Professional		$269.48	$434.20	$693.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $234.77 / $465.74 / $773.36	Professional		$234.77	$465.74	$773.36
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.25 / $417.01 / $722.90	Professional		$288.25	$417.01	$722.90
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $166.11 / $199.33 / $312.89	Professional		$166.11	$199.33	$312.89