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 $784.96 / $813.10 / $976.42	Professional		$784.96	$813.10	$976.42
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 $742.03 / $1,272.44 / $1,896.69	Professional		$742.03	$1,272.44	$1,896.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.33 / $2,862.32 / $2,962.50	Facility		$853.33	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.21 / $1,464.42 / $2,271.54	Professional		$933.21	$1,464.42	$2,271.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $849.47 / $1,393.64 / $2,621.89	Professional		$849.47	$1,393.64	$2,621.89
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 $850.07 / $1,183.60 / $2,214.25	Professional		$850.07	$1,183.60	$2,214.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $591.25 / $650.38 / $827.75	Professional		$591.25	$650.38	$827.75