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 $722.29 / $741.55 / $887.52	Professional		$722.29	$741.55	$887.52
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 $656.63 / $1,126.01 / $1,690.95	Professional		$656.63	$1,126.01	$1,690.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $2,472.40 / $2,558.92	Facility		$755.12	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.95 / $1,354.70 / $2,013.89	Professional		$827.95	$1,354.70	$2,013.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $751.71 / $1,233.26 / $2,320.15	Professional		$751.71	$1,233.26	$2,320.15
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 $748.02 / $1,113.59 / $1,878.98	Professional		$748.02	$1,113.59	$1,878.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $522.09 / $574.29 / $730.93	Professional		$522.09	$574.29	$730.93