Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $599.66 / $8,965.00	Facility		$100.00	$599.66	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.88 / $217.59 / $352.59	Professional		$180.88	$217.59	$352.59
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 $174.02 / $278.57 / $393.25	Professional		$174.02	$278.57	$393.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $1,306.21 / $1,351.93	Facility		$302.72	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.55 / $342.09 / $534.04	Professional		$236.55	$342.09	$534.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $212.87 / $353.82 / $662.14	Professional		$212.87	$353.82	$662.14
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 $242.08 / $407.53 / $617.11	Professional		$242.08	$407.53	$617.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $164.38 / $197.26	Professional		$137.43	$164.38	$197.26