Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,237.80 / $2,341.64	Facility		$100.00	$2,237.80	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.37 / $668.21 / $840.21	Professional		$655.37	$668.21	$840.21
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 $647.58 / $1,161.63 / $1,858.39	Professional		$647.58	$1,161.63	$1,858.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.36 / $2,000.36 / $2,070.38	Facility		$2,000.36	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.84 / $1,165.06 / $1,831.48	Professional		$671.84	$1,165.06	$1,831.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $741.34 / $1,282.36 / $2,288.15	Professional		$741.34	$1,282.36	$2,288.15
United Facility/Professional Facility Modifier Low / Median / High Price $972.00 / $4,574.00 / $11,155.00	Facility		$972.00	$4,574.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.81 / $1,077.84 / $1,907.28	Professional		$741.81	$1,077.84	$1,907.28
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $524.42 / $576.87 / $734.20	Professional		$524.42	$576.87	$734.20