Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $80.09 / $196.19	Professional		$42.10	$80.09	$196.19
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 $44.44 / $76.34 / $117.76	Professional		$44.44	$76.34	$117.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $122.24 / $259.30	Professional		$64.31	$122.24	$259.30
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $55.38 / $112.64 / $252.85	Professional		$55.38	$112.64	$252.85
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 $115.99 / $194.01 / $302.88	Professional		$115.99	$194.01	$302.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $79.41 / $142.24	Professional		$39.84	$79.41	$142.24