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 / $11,351.00	Facility		$100.00	$2,331.21	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
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 $211.15 / $211.15 / $475.92	Professional		$211.15	$211.15	$475.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.36 / $2,000.36 / $2,070.38	Facility		$2,000.36	$2,000.36	$2,070.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $448.80 / $884.51 / $1,596.79	Professional		$448.80	$884.51	$1,596.79
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.91 / $489.91 / $673.20	Professional		$489.91	$489.91	$673.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $2,875.00 / $4,410.00	Professional		$325.52	$2,875.00	$4,410.00