Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,618.33 / $3,764.10	Facility		$100.00	$2,618.33	$3,764.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.09 / $765.95 / $990.70	Professional		$736.09	$765.95	$990.70
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 $752.06 / $1,349.05 / $2,158.23	Professional		$752.06	$1,349.05	$2,158.23
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 $783.14 / $1,422.64 / $2,307.19	Professional		$783.14	$1,422.64	$2,307.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $860.95 / $1,489.27 / $2,657.32	Professional		$860.95	$1,489.27	$2,657.32
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 $860.95 / $1,261.17 / $2,231.67	Professional		$860.95	$1,261.17	$2,231.67
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $602.96 / $663.26 / $844.14	Professional		$602.96	$663.26	$844.14