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 $138.77 / $184.35 / $261.16	Professional		$138.77	$184.35	$261.16
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 $129.06 / $217.27 / $297.70	Professional		$129.06	$217.27	$297.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.88 / $224.88 / $224.88	Facility		$224.88	$224.88	$224.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $279.48 / $458.43	Professional		$183.28	$279.48	$458.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $286.49 / $525.67	Professional		$161.28	$286.49	$525.67
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 $202.92 / $275.80 / $513.00	Professional		$202.92	$275.80	$513.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $105.04 / $148.65 / $195.75	Professional		$105.04	$148.65	$195.75