Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,910.90 / $9,859.00	Facility		$100.00	$1,910.90	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.93 / $543.58 / $710.60	Professional		$501.93	$543.58	$710.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.79 / $911.55 / $1,384.89	Professional		$541.79	$911.55	$1,384.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.07 / $2,000.36 / $2,070.38	Facility		$623.07	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.26 / $1,037.48 / $1,666.89	Professional		$734.26	$1,037.48	$1,666.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $620.25 / $1,017.58 / $1,914.40	Professional		$620.25	$1,017.58	$1,914.40
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 $641.10 / $927.58 / $1,638.70	Professional		$641.10	$927.58	$1,638.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $430.33 / $516.40 / $815.05	Professional		$430.33	$516.40	$815.05