Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.38 / $677.30 / $976.61	Professional		$609.38	$677.30	$976.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.38 / $1,216.83 / $1,866.93	Professional		$730.38	$1,216.83	$1,866.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.94 / $3,906.58 / $4,043.31	Facility		$839.94	$3,906.58	$4,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.73 / $1,424.68 / $2,225.77	Professional		$916.73	$1,424.68	$2,225.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $836.14 / $1,371.77 / $2,580.75	Professional		$836.14	$1,371.77	$2,580.75
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.95 / $1,305.92 / $2,563.02	Professional		$877.95	$1,305.92	$2,563.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $613.46 / $674.81 / $858.84	Professional		$613.46	$674.81	$858.84