Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $306.61 / $8,965.00	Facility		$100.00	$306.61	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $107.52 / $207.40	Professional		$58.62	$107.52	$207.40
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 $42.42 / $73.30 / $116.74	Professional		$42.42	$73.30	$116.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $1,306.21 / $1,351.93	Facility		$74.15	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $116.24 / $245.08	Professional		$60.60	$116.24	$245.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $101.65 / $218.84	Professional		$52.95	$101.65	$218.84
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 $90.10 / $154.29 / $245.99	Professional		$90.10	$154.29	$245.99
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $66.98 / $126.38	Professional		$37.60	$66.98	$126.38