Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,111.52 / $9,859.00	Facility		$100.00	$2,111.52	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.95 / $638.05 / $813.93	Professional		$574.95	$638.05	$813.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.66 / $1,037.39 / $1,591.61	Professional		$622.66	$1,037.39	$1,591.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $716.07 / $2,862.32 / $2,962.50	Facility		$716.07	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.00 / $1,191.01 / $1,860.70	Professional		$815.00	$1,191.01	$1,860.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $712.83 / $1,169.47 / $2,200.15	Professional		$712.83	$1,169.47	$2,200.15
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 $727.94 / $1,020.13 / $1,727.25	Professional		$727.94	$1,020.13	$1,727.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $492.87 / $542.16 / $690.02	Professional		$492.87	$542.16	$690.02