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 $737.63 / $823.55 / $1,055.34	Professional		$737.63	$823.55	$1,055.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,334.70 / $11,483.00 / $21,862.00	Facility		$10,334.70	$11,483.00	$21,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.13 / $1,353.28 / $2,055.44	Professional		$804.13	$1,353.28	$2,055.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.75 / $924.75 / $924.75	Facility		$924.75	$924.75	$924.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.07 / $1,480.00 / $2,405.13	Professional		$1,053.07	$1,480.00	$2,405.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $920.57 / $1,510.29 / $2,841.34	Professional		$920.57	$1,510.29	$2,841.34
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $923.45 / $1,196.26 / $2,335.17	Professional		$923.45	$1,196.26	$2,335.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $638.54 / $702.41 / $893.97	Professional		$638.54	$702.41	$893.97