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 $801.80 / $903.19 / $1,151.82	Professional		$801.80	$903.19	$1,151.82
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 $860.42 / $1,475.45 / $2,199.30	Professional		$860.42	$1,475.45	$2,199.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.62 / $993.62 / $993.62	Facility		$993.62	$993.62	$993.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.81 / $1,736.80 / $2,581.92	Professional		$1,152.81	$1,736.80	$2,581.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $985.00 / $1,549.60 / $3,040.20	Professional		$985.00	$1,549.60	$3,040.20
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.25 / $1,393.98 / $2,485.94	Professional		$1,103.25	$1,393.98	$2,485.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $692.05 / $761.26 / $968.87	Professional		$692.05	$761.26	$968.87