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 $624.82 / $691.34 / $815.81	Professional		$624.82	$691.34	$815.81
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 $620.08 / $1,063.32 / $1,584.98	Professional		$620.08	$1,063.32	$1,584.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.09 / $713.09 / $713.09	Facility		$713.09	$713.09	$713.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.56 / $1,136.28 / $1,863.08	Professional		$842.56	$1,136.28	$1,863.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $709.87 / $1,116.77 / $2,191.01	Professional		$709.87	$1,116.77	$2,191.01
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 $852.03 / $1,152.97 / $1,930.38	Professional		$852.03	$1,152.97	$1,930.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $508.22 / $609.86 / $896.50	Professional		$508.22	$609.86	$896.50