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 $118.40 / $171.92 / $289.55	Professional		$118.40	$171.92	$289.55
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 $105.45 / $175.10 / $254.62	Professional		$105.45	$175.10	$254.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.16 / $271.16 / $387.84	Professional	50	$158.16	$271.16	$387.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $184.66 / $184.66	Facility		$184.66	$184.66	$184.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $252.05 / $434.57	Professional		$151.43	$252.05	$434.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $241.07 / $445.05	Professional		$131.78	$241.07	$445.05
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 $186.92 / $252.30 / $468.11	Professional		$186.92	$252.30	$468.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $141.13 / $196.92	Professional		$85.31	$141.13	$196.92