Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,574.70 / $9,859.00	Facility		$100.00	$1,574.70	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.85 / $468.20 / $596.27	Professional		$415.85	$468.20	$596.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.70 / $784.87 / $1,169.92	Professional		$457.70	$784.87	$1,169.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.36 / $3,906.58 / $4,043.31	Facility		$526.36	$3,906.58	$4,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $876.15 / $1,368.81	Professional		$608.16	$876.15	$1,368.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $523.97 / $859.63 / $1,617.23	Professional		$523.97	$859.63	$1,617.23
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.85 / $725.75 / $1,377.10	Professional		$524.85	$725.75	$1,377.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $362.24 / $398.46 / $507.14	Professional		$362.24	$398.46	$507.14