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 $643.39 / $716.90 / $778.14	Professional		$643.39	$716.90	$778.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,041.00	Facility		$8,992.79	$9,992.00	$19,041.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.11 / $1,144.82 / $1,839.83	Professional		$641.11	$1,144.82	$1,839.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.16 / $1,213.57 / $1,964.82	Professional		$713.16	$1,213.57	$1,964.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $733.93 / $1,269.55 / $2,265.27	Professional		$733.93	$1,269.55	$2,265.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,660.00 / $12,399.00	Facility		$1,111.00	$4,660.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $742.45 / $1,020.32 / $1,897.27	Professional		$742.45	$1,020.32	$1,897.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $512.98 / $615.58 / $971.58	Professional		$512.98	$615.58	$971.58