Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $766.45 / $8,965.00	Facility		$100.00	$766.45	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $410.64 / $608.12	Professional		$225.10	$410.64	$608.12
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 $235.81 / $406.07 / $626.65	Professional		$235.81	$406.07	$626.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $1,306.21 / $1,351.93	Facility		$407.87	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.99 / $594.54 / $1,152.54	Professional		$318.99	$594.54	$1,152.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $294.68 / $588.60 / $1,321.31	Professional		$294.68	$588.60	$1,321.31
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 $536.39 / $748.71 / $1,295.61	Professional		$536.39	$748.71	$1,295.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $179.37 / $251.12 / $429.14	Professional		$179.37	$251.12	$429.14