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 $753.44 / $759.93 / $889.72	Professional		$753.44	$759.93	$889.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $16,696.31 / $29,108.25	Facility		$3,669.00	$16,696.31	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.34 / $1,161.51 / $1,731.33	Professional		$677.34	$1,161.51	$1,731.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.94 / $778.94 / $778.94	Facility		$778.94	$778.94	$778.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.83 / $1,258.48 / $2,073.76	Professional		$894.83	$1,258.48	$2,073.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $775.41 / $1,219.88 / $2,393.30	Professional		$775.41	$1,219.88	$2,393.30
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 $799.46 / $1,066.84 / $2,019.97	Professional		$799.46	$1,066.84	$2,019.97
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $555.03 / $610.53 / $777.04	Professional		$555.03	$610.53	$777.04