Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.70 / $915.95 / $1,105.05	Professional		$863.70	$915.95	$1,105.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.52 / $1,040.52 / $1,040.52	Professional		$1,040.52	$1,040.52	$1,040.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,906.58 / $3,906.58 / $4,043.31	Facility		$3,906.58	$3,906.58	$4,043.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,027.95 / $1,778.15 / $3,172.77	Professional		$1,027.95	$1,778.15	$3,172.77
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,884.00 / $8,611.00	Facility		$930.00	$3,884.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.74 / $1,446.72 / $2,641.68	Professional		$1,063.74	$1,446.72	$2,641.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00