Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $573.23 / $8,965.00	Facility		$100.00	$573.23	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.99 / $238.63 / $3,237.35	Professional		$169.99	$238.63	$3,237.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,317.69 / $40,353.00 / $63,632.00	Facility		$36,317.69	$40,353.00	$63,632.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.65 / $764.66 / $1,267.07	Professional		$415.65	$764.66	$1,267.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.04 / $1,306.21 / $1,351.93	Facility		$770.04	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.58 / $977.04 / $6,164.03	Professional		$370.58	$977.04	$6,164.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $557.41 / $3,901.53 / $10,273.48	Professional		$557.41	$3,901.53	$10,273.48
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.29 / $3,001.98 / $6,057.11	Professional		$287.29	$3,001.98	$6,057.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $279.13 / $390.78 / $1,976.94	Professional		$279.13	$390.78	$1,976.94