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 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.84 / $769.33 / $978.61	Professional		$688.84	$769.33	$978.61
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 $743.00 / $1,253.05 / $1,899.17	Professional		$743.00	$1,253.05	$1,899.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.45 / $1,751.69 / $1,812.99	Facility		$854.45	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.83 / $1,357.00 / $2,221.36	Professional		$1,003.83	$1,357.00	$2,221.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $850.58 / $1,395.46 / $2,625.32	Professional		$850.58	$1,395.46	$2,625.32
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 $904.14 / $1,221.51 / $2,252.61	Professional		$904.14	$1,221.51	$2,252.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $590.97 / $650.07 / $827.36	Professional		$590.97	$650.07	$827.36