Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $301.10 / $8,965.00	Facility		$100.00	$301.10	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $166.93 / $284.77	Professional		$85.71	$166.93	$284.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.89 / $157.22 / $241.54	Professional		$90.89	$157.22	$241.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.31 / $1,306.21 / $1,351.93	Facility		$159.31	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $226.88 / $439.06	Professional		$123.80	$226.88	$439.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $230.20 / $516.76	Professional		$113.58	$230.20	$516.76
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.81 / $296.13 / $530.01	Professional		$197.81	$296.13	$530.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $145.97 / $218.96	Professional		$72.36	$145.97	$218.96