Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $152.51 / $8,965.00	Facility		$100.00	$152.51	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $1,965.51	Professional		$45.89	$127.09	$1,965.51
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 $437.95 / $437.95 / $437.95	Professional		$437.95	$437.95	$437.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.21 / $1,306.21 / $1,351.93	Facility		$1,306.21	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $201.52 / $452.40	Professional		$98.88	$201.52	$452.40
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 $209.28 / $209.28 / $227.83	Professional		$209.28	$209.28	$227.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $3,125.00 / $7,965.00	Professional		$2,500.00	$3,125.00	$7,965.00