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 $105.80 / $124.45 / $150.96	Professional		$105.80	$124.45	$150.96
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 $110.95 / $179.60 / $248.45	Professional		$110.95	$179.60	$248.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $187.40 / $187.40	Facility		$187.40	$187.40	$187.40
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.03 / $211.12 / $333.31	Professional		$151.03	$211.12	$333.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $135.71 / $223.07 / $418.38	Professional		$135.71	$223.07	$418.38
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 $140.56 / $179.48 / $351.62	Professional		$140.56	$179.48	$351.62
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $106.12 / $144.65	Professional		$82.82	$106.12	$144.65