Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,398.83 / $9,772.37	Facility		$100.00	$2,398.83	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $891.25	Professional		$446.68	$512.86	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,019.95	Facility		$1,584.89	$1,737.80	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,479.11	Professional		$512.86	$1,000.00	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $1,380.38	Professional		$416.87	$758.58	$1,380.38
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,466.84 / $10,000.00	Facility		$851.14	$4,466.84	$10,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,348.96	Professional		$575.44	$851.14	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,466.84 / $10,000.00	Facility		$851.14	$4,466.84	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,445.44	Professional		$524.81	$758.58	$1,445.44
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $645.65	Facility		$380.19	$524.81	$645.65