Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,310.70 / $2,665.69	Facility		$100.00	$1,310.70	$2,665.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.01 / $793.90 / $1,014.23	Professional		$712.01	$793.90	$1,014.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.61 / $1,277.21 / $1,959.53	Professional		$766.61	$1,277.21	$1,959.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.60 / $881.60 / $881.60	Facility		$881.60	$881.60	$881.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.75 / $1,385.49 / $2,292.75	Professional		$957.75	$1,385.49	$2,292.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $877.61 / $1,380.66 / $2,708.74	Professional		$877.61	$1,380.66	$2,708.74
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.61 / $1,184.81 / $2,223.30	Professional		$877.61	$1,184.81	$2,223.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $611.79 / $672.97 / $856.51	Professional		$611.79	$672.97	$856.51