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 $704.01 / $792.66 / $1,061.45	Professional		$704.01	$792.66	$1,061.45
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 $819.66 / $1,405.57 / $2,095.13	Professional		$819.66	$1,405.57	$2,095.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $942.61 / $942.61 / $942.61	Facility		$942.61	$942.61	$942.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.08 / $1,513.00 / $2,452.81	Professional		$1,098.08	$1,513.00	$2,452.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $938.34 / $1,476.20 / $2,896.19	Professional		$938.34	$1,476.20	$2,896.19
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 $948.34 / $1,254.74 / $2,475.21	Professional		$948.34	$1,254.74	$2,475.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $648.73 / $778.48 / $1,144.35	Professional		$648.73	$778.48	$1,144.35