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 $598.37 / $670.77 / $931.48	Professional		$598.37	$670.77	$931.48
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 $699.98 / $1,166.18 / $1,789.21	Professional		$699.98	$1,166.18	$1,789.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $804.98 / $804.98 / $804.98	Facility		$804.98	$804.98	$804.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.09 / $1,281.07 / $2,125.78	Professional		$919.09	$1,281.07	$2,125.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $801.33 / $1,260.65 / $2,473.30	Professional		$801.33	$1,260.65	$2,473.30
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 $819.25 / $1,026.52 / $2,002.53	Professional		$819.25	$1,026.52	$2,002.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $573.01 / $630.30 / $802.21	Professional		$573.01	$630.30	$802.21