Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,608.48 / $9,859.00	Facility		$100.00	$2,608.48	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.42 / $691.46 / $838.26	Professional		$588.42	$691.46	$838.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.08 / $1,195.15 / $1,971.45	Professional		$784.08	$1,195.15	$1,971.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.47 / $1,270.71 / $2,060.46	Professional		$806.47	$1,270.71	$2,060.46
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $897.61 / $1,769.00 / $3,193.61	Professional		$897.61	$1,769.00	$3,193.61
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $975.79 / $1,298.68 / $2,769.91	Professional		$975.79	$1,298.68	$2,769.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $627.13 / $689.84 / $877.98	Professional		$627.13	$689.84	$877.98