Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $8,965.00	Facility		$100.00	$1,749.77	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.51 / $546.88 / $711.63	Professional		$497.51	$546.88	$711.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.00 / $9,157.56 / $15,965.24	Facility		$1,332.00	$9,157.56	$15,965.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.07 / $932.97 / $1,390.68	Professional		$544.07	$932.97	$1,390.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.67 / $625.67 / $625.67	Facility		$625.67	$625.67	$625.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.04 / $1,041.03 / $1,626.39	Professional		$681.04	$1,041.03	$1,626.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $622.84 / $979.85 / $1,922.40	Professional		$622.84	$979.85	$1,922.40
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 $598.29 / $828.90 / $1,587.02	Professional		$598.29	$828.90	$1,587.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $428.84 / $500.89 / $756.47	Professional		$428.84	$500.89	$756.47