Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,913.50 / $9,859.00	Facility		$100.00	$1,913.50	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.05 / $533.91 / $755.16	Professional		$529.05	$533.91	$755.16
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 $575.77 / $967.61 / $1,471.71	Professional		$575.77	$967.61	$1,471.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $2,472.40 / $2,558.92	Facility		$662.14	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,048.95 / $1,731.13	Professional		$750.00	$1,048.95	$1,731.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $659.13 / $1,081.36 / $2,034.40	Professional		$659.13	$1,081.36	$2,034.40
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 $680.26 / $1,025.83 / $1,752.01	Professional		$680.26	$1,025.83	$1,752.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $461.10 / $507.21 / $645.54	Professional		$461.10	$507.21	$645.54