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 $120.28 / $170.01 / $239.88	Professional		$120.28	$170.01	$239.88
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 $113.21 / $190.03 / $278.83	Professional		$113.21	$190.03	$278.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.86 / $196.86 / $196.86	Facility		$196.86	$196.86	$196.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $256.48 / $438.00	Professional		$160.80	$256.48	$438.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $258.82 / $493.76	Professional		$141.47	$258.82	$493.76
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 $205.55 / $283.07 / $494.68	Professional		$205.55	$283.07	$494.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $135.59 / $189.83	Professional		$91.54	$135.59	$189.83