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 $545.78 / $661.02 / $940.01	Professional		$545.78	$661.02	$940.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $20,162.41 / $35,151.03	Facility		$3,669.00	$20,162.41	$35,151.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.56 / $1,204.08 / $1,823.92	Professional		$713.56	$1,204.08	$1,823.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $820.59 / $820.59 / $820.59	Facility		$820.59	$820.59	$820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.34 / $1,291.43 / $2,135.80	Professional		$933.34	$1,291.43	$2,135.80
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $816.88 / $1,285.11 / $2,521.30	Professional		$816.88	$1,285.11	$2,521.30
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 $833.61 / $1,041.83 / $2,452.96	Professional		$833.61	$1,041.83	$2,452.96
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $567.75 / $624.53 / $794.85	Professional		$567.75	$624.53	$794.85