Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,238.46 / $3,764.10	Facility		$100.00	$2,238.46	$3,764.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.28 / $655.77 / $848.32	Professional		$632.28	$655.77	$848.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,300.00	Facility		$8,512.20	$9,458.00	$17,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.92 / $1,160.47 / $1,856.54	Professional		$646.92	$1,160.47	$1,856.54
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 $696.85 / $1,224.98 / $1,981.49	Professional		$696.85	$1,224.98	$1,981.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $740.60 / $1,281.08 / $2,285.86	Professional		$740.60	$1,281.08	$2,285.86
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 $707.71 / $1,001.88 / $1,911.72	Professional		$707.71	$1,001.88	$1,911.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $517.04 / $568.74 / $723.86	Professional		$517.04	$568.74	$723.86