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 $88.67 / $130.86 / $226.54	Professional		$88.67	$130.86	$226.54
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 $74.73 / $129.25 / $195.05	Professional		$74.73	$129.25	$195.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.08 / $193.02 / $292.58	Professional	50	$112.08	$193.02	$292.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $188.25 / $331.55	Professional		$109.06	$188.25	$331.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $93.38 / $176.41 / $365.04	Professional		$93.38	$176.41	$365.04
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 $147.01 / $233.58 / $378.77	Professional		$147.01	$233.58	$378.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $114.19 / $183.12	Professional		$65.41	$114.19	$183.12