Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,293.94 / $9,859.00	Facility		$100.00	$2,293.94	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.99 / $579.85 / $718.91	Professional		$482.99	$579.85	$718.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $20,162.41 / $35,151.03	Facility		$1,497.60	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.63 / $882.50 / $1,365.50	Professional		$514.63	$882.50	$1,365.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.54 / $607.54 / $607.54	Facility		$607.54	$607.54	$607.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.02 / $1,049.27 / $1,566.41	Professional		$666.02	$1,049.27	$1,566.41
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $589.15 / $926.85 / $1,818.41	Professional		$589.15	$926.85	$1,818.41
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.38 / $870.44 / $1,606.40	Professional		$595.38	$870.44	$1,606.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $450.12 / $519.20 / $732.70	Professional		$450.12	$519.20	$732.70