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 $776.46 / $870.94 / $1,109.91	Professional		$776.46	$870.94	$1,109.91
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 $839.72 / $1,439.96 / $2,146.39	Professional		$839.72	$1,439.96	$2,146.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $965.68 / $2,862.32 / $2,962.50	Facility		$965.68	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.85 / $1,531.00 / $2,514.88	Professional		$1,105.85	$1,531.00	$2,514.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $961.30 / $1,577.11 / $2,967.05	Professional		$961.30	$1,577.11	$2,967.05
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 $981.08 / $1,307.20 / $2,552.42	Professional		$981.08	$1,307.20	$2,552.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $669.29 / $736.22 / $937.01	Professional		$669.29	$736.22	$937.01