Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.12 / $8,965.00	Facility		$100.00	$239.12	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $134.38 / $239.12	Professional		$91.93	$134.38	$239.12
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 $75.75 / $129.75 / $191.25	Professional		$75.75	$129.75	$191.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.82 / $1,306.21 / $1,351.93	Facility		$133.82	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $192.74 / $340.40	Professional		$111.76	$192.74	$340.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $94.59 / $178.02 / $363.20	Professional		$94.59	$178.02	$363.20
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 $157.91 / $256.68 / $394.22	Professional		$157.91	$256.68	$394.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $131.21 / $217.82	Professional		$72.55	$131.21	$217.82