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 $679.26 / $761.10 / $965.58	Professional		$679.26	$761.10	$965.58
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 $732.32 / $1,255.80 / $1,871.88	Professional		$732.32	$1,255.80	$1,871.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.17 / $2,000.36 / $2,070.38	Facility		$842.17	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.08 / $1,402.80 / $2,191.59	Professional		$958.08	$1,402.80	$2,191.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $838.36 / $1,375.41 / $2,587.60	Professional		$838.36	$1,375.41	$2,587.60
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 $838.36 / $1,128.17 / $2,222.17	Professional		$838.36	$1,128.17	$2,222.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $582.95 / $641.25 / $816.13	Professional		$582.95	$641.25	$816.13