Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,292.76 / $2,932.07	Facility		$100.00	$2,292.76	$2,932.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.38 / $653.78 / $906.96	Professional		$484.38	$653.78	$906.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.52 / $1,016.22 / $1,593.44	Professional		$649.52	$1,016.22	$1,593.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.35 / $1,273.39 / $2,114.10	Professional		$750.35	$1,273.39	$2,114.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $847.21 / $1,656.45 / $2,647.52	Professional		$847.21	$1,656.45	$2,647.52
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 $744.90 / $1,441.13 / $3,138.89	Professional		$744.90	$1,441.13	$3,138.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $535.54 / $705.39 / $846.47	Professional		$535.54	$705.39	$846.47