Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $432.06 / $6,067.00	Facility		$100.00	$432.06	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.62 / $174.26 / $256.20	Professional		$127.62	$174.26	$256.20
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 $123.23 / $205.67 / $301.77	Professional		$123.23	$205.67	$301.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $1,751.69 / $1,812.99	Facility		$214.88	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.13 / $280.68 / $479.32	Professional		$167.13	$280.68	$479.32
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $280.98 / $533.29	Professional		$153.60	$280.98	$533.29
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 $237.57 / $320.61 / $568.70	Professional		$237.57	$320.61	$568.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $152.28 / $228.42	Professional		$103.46	$152.28	$228.42