Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,217.75 / $2,331.21	Facility		$100.00	$2,217.75	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.99 / $699.73 / $879.93	Professional		$588.99	$699.73	$879.93
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 $626.23 / $1,078.41 / $1,662.02	Professional		$626.23	$1,078.41	$1,662.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.03 / $2,000.36 / $2,070.38	Facility		$724.03	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.45 / $1,104.50 / $1,744.31	Professional		$790.45	$1,104.50	$1,744.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $716.90 / $1,176.15 / $2,212.71	Professional		$716.90	$1,176.15	$2,212.71
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.99 / $972.79 / $1,840.08	Professional		$704.99	$972.79	$1,840.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $498.22 / $548.04 / $697.51	Professional		$498.22	$548.04	$697.51