Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,358.59 / $9,859.00	Facility		$100.00	$1,358.59	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.30 / $471.16 / $567.07	Professional		$425.30	$471.16	$567.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.33 / $696.29 / $1,073.10	Professional		$404.33	$696.29	$1,073.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.98 / $2,000.36 / $2,070.38	Facility		$464.98	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.69 / $709.02 / $1,107.81	Professional		$505.69	$709.02	$1,107.81
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $462.88 / $759.40 / $1,428.68	Professional		$462.88	$759.40	$1,428.68
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.88 / $676.85 / $1,186.98	Professional		$462.88	$676.85	$1,186.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $318.61 / $382.33 / $603.45	Professional		$318.61	$382.33	$603.45