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 $619.02 / $678.68 / $866.20	Professional		$619.02	$678.68	$866.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.75 / $1,112.68 / $1,696.62	Professional		$663.75	$1,112.68	$1,696.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.31 / $2,472.40 / $2,558.92	Facility		$763.31	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.88 / $1,344.44 / $1,985.50	Professional		$900.88	$1,344.44	$1,985.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $759.86 / $1,246.63 / $2,345.31	Professional		$759.86	$1,246.63	$2,345.31
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 $768.40 / $1,174.46 / $1,931.13	Professional		$768.40	$1,174.46	$1,931.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $579.67 / $737.77	Professional		$526.98	$579.67	$737.77