Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,954.16 / $9,859.00	Facility		$100.00	$1,954.16	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.23 / $610.95 / $656.36	Professional		$539.23	$610.95	$656.36
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 $486.81 / $834.80 / $1,291.69	Professional		$486.81	$834.80	$1,291.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.83 / $2,862.32 / $2,962.50	Facility		$559.83	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.72 / $957.49 / $1,501.66	Professional		$661.72	$957.49	$1,501.66
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $557.29 / $914.31 / $1,720.11	Professional		$557.29	$914.31	$1,720.11
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.76 / $807.69 / $1,436.11	Professional		$580.76	$807.69	$1,436.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $403.74 / $444.11 / $565.24	Professional		$403.74	$444.11	$565.24