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 $86.25 / $121.82 / $324.89	Professional		$86.25	$121.82	$324.89
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 $79.56 / $137.02 / $222.22	Professional		$79.56	$137.02	$222.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.35 / $205.54 / $301.58	Professional	50	$119.35	$205.54	$301.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.86 / $1,306.21 / $1,351.93	Facility		$139.86	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $251.17 / $565.20	Professional		$113.12	$251.17	$565.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $256.31 / $617.89	Professional		$99.43	$256.31	$617.89
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 $259.43 / $357.62 / $610.65	Professional		$259.43	$357.62	$610.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $169.20 / $264.69	Professional		$68.16	$169.20	$264.69