Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,511.70 / $9,859.00	Facility		$100.00	$1,511.70	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.12 / $476.26 / $606.97	Professional		$431.12	$476.26	$606.97
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 $466.76 / $780.00 / $1,193.08	Professional		$466.76	$780.00	$1,193.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $2,862.32 / $2,962.50	Facility		$536.77	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.41 / $847.39 / $1,394.11	Professional		$580.41	$847.39	$1,394.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $534.34 / $876.64 / $1,649.24	Professional		$534.34	$876.64	$1,649.24
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.54 / $689.63 / $1,589.30	Professional		$516.54	$689.63	$1,589.30
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $368.74 / $405.61 / $516.24	Professional		$368.74	$405.61	$516.24