Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $137.07 / $6,067.00	Facility		$100.00	$137.07	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $55.06 / $85.15	Professional		$36.21	$55.06	$85.15
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 $33.33 / $55.12 / $74.77	Professional		$33.33	$55.12	$74.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $1,751.69 / $1,812.99	Facility		$58.29	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $70.98 / $118.72	Professional		$46.54	$70.98	$118.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $71.95 / $134.38	Professional		$41.23	$71.95	$134.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $78.84 / $129.76	Professional		$49.62	$78.84	$129.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $35.34 / $42.41	Professional		$27.80	$35.34	$42.41