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 $634.98 / $693.33 / $951.23	Professional		$634.98	$693.33	$951.23
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 $718.74 / $1,197.44 / $1,837.15	Professional		$718.74	$1,197.44	$1,837.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.55 / $5,257.46 / $5,441.47	Facility		$826.55	$5,257.46	$5,441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.10 / $1,309.00 / $2,172.12	Professional		$905.10	$1,309.00	$2,172.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $822.81 / $1,349.90 / $2,539.60	Professional		$822.81	$1,349.90	$2,539.60
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $842.68 / $1,177.52 / $2,258.50	Professional		$842.68	$1,177.52	$2,258.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $594.39 / $653.83 / $832.15	Professional		$594.39	$653.83	$832.15