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 $89.16 / $190.35 / $328.18	Professional		$89.16	$190.35	$328.18
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 $80.80 / $137.58 / $220.10	Professional		$80.80	$137.58	$220.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.85 / $206.37 / $302.80	Professional	50	$119.85	$206.37	$302.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $1,306.21 / $1,351.93	Facility		$140.37	$1,306.21	$1,351.93
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $253.30 / $548.64	Professional		$113.63	$253.30	$548.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $254.10 / $601.36	Professional		$99.84	$254.10	$601.36
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 $250.52 / $361.45 / $1,511.72	Professional		$250.52	$361.45	$1,511.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $170.94 / $256.41	Professional		$70.39	$170.94	$256.41