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 $684.90 / $757.01 / $962.14	Professional		$684.90	$757.01	$962.14
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 $728.77 / $1,248.69 / $1,862.79	Professional		$728.77	$1,248.69	$1,862.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $3,906.58 / $4,043.31	Facility		$838.09	$3,906.58	$4,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.10 / $1,402.52 / $2,191.15	Professional		$954.10	$1,402.52	$2,191.15
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $834.29 / $1,368.74 / $2,575.04	Professional		$834.29	$1,368.74	$2,575.04
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 $850.50 / $1,188.03 / $2,240.82	Professional		$850.50	$1,188.03	$2,240.82
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $588.34 / $706.01 / $1,114.32	Professional		$588.34	$706.01	$1,114.32