Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,677.23 / $3,764.10	Facility		$100.00	$2,677.23	$3,764.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.36 / $793.93 / $936.98	Professional		$688.36	$793.93	$936.98
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 $725.86 / $1,302.04 / $2,083.03	Professional		$725.86	$1,302.04	$2,083.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,862.32 / $2,862.32 / $2,962.50	Facility		$2,862.32	$2,862.32	$2,962.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.94 / $1,187.00 / $2,036.63	Professional		$731.94	$1,187.00	$2,036.63
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $830.95 / $1,437.38 / $2,564.73	Professional		$830.95	$1,437.38	$2,564.73
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 $764.01 / $1,184.22 / $2,095.48	Professional		$764.01	$1,184.22	$2,095.48
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $575.38 / $632.91 / $805.53	Professional		$575.38	$632.91	$805.53