Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,192.72 / $2,617.26	Facility		$100.00	$1,192.72	$2,617.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.92 / $674.47 / $920.02	Professional		$645.92	$674.47	$920.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $36,315.22 / $63,311.75	Facility		$3,669.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.07 / $1,175.75 / $1,781.77	Professional		$697.07	$1,175.75	$1,781.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.63 / $801.63 / $801.63	Facility		$801.63	$801.63	$801.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.00 / $1,403.46 / $2,086.38	Professional		$942.00	$1,403.46	$2,086.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $798.00 / $1,255.41 / $2,463.03	Professional		$798.00	$1,255.41	$2,463.03
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 $829.74 / $1,232.33 / $2,028.22	Professional		$829.74	$1,232.33	$2,028.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $610.28 / $776.72	Professional		$554.79	$610.28	$776.72