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 $625.97 / $787.82 / $973.20	Professional		$625.97	$787.82	$973.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.12 / $1,231.40 / $1,889.25	Professional		$739.12	$1,231.40	$1,889.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Facility		$849.99	$849.99	$849.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.07 / $1,421.40 / $2,220.65	Professional		$968.07	$1,421.40	$2,220.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $846.14 / $1,388.18 / $2,611.61	Professional		$846.14	$1,388.18	$2,611.61
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 $834.44 / $1,118.08 / $2,149.44	Professional		$834.44	$1,118.08	$2,149.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $597.13 / $716.56 / $1,053.33	Professional		$597.13	$716.56	$1,053.33