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 $550.42 / $673.02 / $955.89	Professional		$550.42	$673.02	$955.89
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 $726.50 / $1,217.23 / $1,857.00	Professional		$726.50	$1,217.23	$1,857.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.48 / $2,000.36 / $2,070.38	Facility		$835.48	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,355.70 / $2,175.69	Professional		$949.10	$1,355.70	$2,175.69
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $831.69 / $1,364.47 / $2,567.01	Professional		$831.69	$1,364.47	$2,567.01
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.51 / $1,157.59 / $2,487.50	Professional		$833.51	$1,157.59	$2,487.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $576.16 / $633.78 / $806.62	Professional		$576.16	$633.78	$806.62