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 $30.08 / $80.81 / $194.84	Professional		$30.08	$80.81	$194.84
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 $28.79 / $49.70 / $81.77	Professional		$28.79	$49.70	$81.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $1,306.21 / $1,351.93	Facility		$51.00	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $137.34 / $291.44	Professional		$41.84	$137.34	$291.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $118.37 / $311.70	Professional		$35.97	$118.37	$311.70
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $233.21 / $367.28	Professional		$150.28	$233.21	$367.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $102.17 / $153.26	Professional		$26.63	$102.17	$153.26