Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,125.83 / $9,859.00	Facility		$100.00	$2,125.83	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.85 / $650.38 / $843.35	Professional		$570.85	$650.38	$843.35
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 $627.52 / $1,057.84 / $1,604.00	Professional		$627.52	$1,057.84	$1,604.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.65 / $2,472.40 / $2,558.92	Facility		$721.65	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.33 / $1,146.76 / $1,875.10	Professional		$824.33	$1,146.76	$1,875.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $718.38 / $1,178.57 / $2,217.28	Professional		$718.38	$1,178.57	$2,217.28
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 $709.19 / $956.91 / $1,884.84	Professional		$709.19	$956.91	$1,884.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $496.01 / $545.61 / $694.41	Professional		$496.01	$545.61	$694.41