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 $722.43 / $839.31 / $1,248.08	Professional		$722.43	$839.31	$1,248.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $16,696.31 / $29,108.25	Facility		$5,299.00	$16,696.31	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.90 / $1,335.67 / $1,990.93	Professional		$778.90	$1,335.67	$1,990.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,020.17 / $1,510.60 / $2,360.00	Professional		$1,020.17	$1,510.60	$2,360.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $891.68 / $1,462.89 / $2,752.17	Professional		$891.68	$1,462.89	$2,752.17
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 $883.79 / $1,205.10 / $2,303.10	Professional		$883.79	$1,205.10	$2,303.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $605.26 / $665.79 / $847.36	Professional		$605.26	$665.79	$847.36