Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $616.64 / $8,965.00	Facility		$100.00	$616.64	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $263.62 / $374.30	Professional		$128.90	$263.62	$374.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $221.93 / $323.06	Professional		$114.18	$221.93	$323.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.68 / $311.76 / $638.37	Professional		$161.68	$311.76	$638.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $324.58 / $847.89	Professional		$139.61	$324.58	$847.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,624.00 / $3,624.00 / $8,035.00	Facility		$3,624.00	$3,624.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.56 / $450.78 / $847.89	Professional		$295.56	$450.78	$847.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $132.94 / $248.56	Professional		$94.96	$132.94	$248.56