Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,260.96 / $9,859.00	Facility		$100.00	$2,260.96	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.29 / $656.43 / $825.97	Professional		$601.29	$656.43	$825.97
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 $636.26 / $1,091.06 / $1,626.32	Professional		$636.26	$1,091.06	$1,626.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.70 / $2,862.32 / $2,962.50	Facility		$731.70	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.32 / $1,219.00 / $1,912.17	Professional		$835.32	$1,219.00	$1,912.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $728.38 / $1,194.98 / $2,248.14	Professional		$728.38	$1,194.98	$2,248.14
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 $735.49 / $1,037.21 / $1,844.75	Professional		$735.49	$1,037.21	$1,844.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $508.24 / $559.05 / $711.54	Professional		$508.24	$559.05	$711.54