Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,088.36 / $9,859.00	Facility		$100.00	$2,088.36	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.47 / $671.46 / $926.13	Professional		$552.47	$671.46	$926.13
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 $599.05 / $1,027.27 / $1,531.25	Professional		$599.05	$1,027.27	$1,531.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $2,472.40 / $2,558.92	Facility		$688.92	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.40 / $1,147.80 / $1,793.20	Professional		$815.40	$1,147.80	$1,793.20
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $685.80 / $1,125.11 / $2,116.71	Professional		$685.80	$1,125.11	$2,116.71
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 $685.80 / $886.63 / $1,751.36	Professional		$685.80	$886.63	$1,751.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $474.14 / $568.97 / $898.02	Professional		$474.14	$568.97	$898.02