Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,191.45 / $9,859.00	Facility		$100.00	$1,191.45	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $156.12 / $255.89	Professional		$108.16	$156.12	$255.89
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 $95.95 / $164.13 / $241.91	Professional		$95.95	$164.13	$241.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $1,306.21 / $1,351.93	Facility		$168.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.83 / $235.97 / $417.58	Professional		$139.83	$235.97	$417.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $223.88 / $437.67	Professional		$119.65	$223.88	$437.67
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 $189.43 / $272.57 / $473.15	Professional		$189.43	$272.57	$473.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $143.13 / $246.45	Professional		$85.43	$143.13	$246.45