Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $328.52 / $8,965.00	Facility		$100.00	$328.52	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $176.21 / $288.94	Professional		$96.64	$176.21	$288.94
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 $91.86 / $158.90 / $253.07	Professional		$91.86	$158.90	$253.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $1,306.21 / $1,351.93	Facility		$160.15	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $267.07 / $566.60	Professional		$129.44	$267.07	$566.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $261.14 / $615.14	Professional		$114.80	$261.14	$615.14
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 $257.17 / $379.10 / $640.53	Professional		$257.17	$379.10	$640.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $172.43 / $259.37	Professional		$78.55	$172.43	$259.37