Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,248.12 / $9,859.00	Facility		$100.00	$2,248.12	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.10 / $669.49 / $851.26	Professional		$599.10	$669.49	$851.26
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 $648.87 / $1,081.75 / $1,658.56	Professional		$648.87	$1,081.75	$1,658.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.20 / $2,000.36 / $2,070.38	Facility		$746.20	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.77 / $1,241.40 / $1,939.43	Professional		$849.77	$1,241.40	$1,939.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $742.82 / $1,218.67 / $2,292.71	Professional		$742.82	$1,218.67	$2,292.71
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 $743.40 / $962.32 / $1,889.93	Professional		$743.40	$962.32	$1,889.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $513.79 / $565.16 / $719.31	Professional		$513.79	$565.16	$719.31