Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,345.48 / $6,067.00	Facility		$100.00	$2,345.48	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.45 / $661.19 / $696.92	Professional		$614.45	$661.19	$696.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.52 / $1,105.92 / $1,824.25	Professional		$616.52	$1,105.92	$1,824.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $1,001.39 / $1,688.19	Professional		$771.09	$1,001.39	$1,688.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $705.79 / $1,390.97 / $2,511.13	Professional		$705.79	$1,390.97	$2,511.13
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.87 / $1,004.22 / $3,409.20	Professional		$805.87	$1,004.22	$3,409.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $485.31 / $533.84 / $679.43	Professional		$485.31	$533.84	$679.43