Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,719.89 / $2,341.64	Facility		$100.00	$1,719.89	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.55 / $596.41 / $831.59	Professional		$475.55	$596.41	$831.59
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 $436.36 / $710.82 / $1,012.93	Professional		$436.36	$710.82	$1,012.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.77 / $1,751.69 / $1,812.99	Facility		$737.77	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.46 / $920.45 / $1,590.59	Professional		$603.46	$920.45	$1,590.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $536.22 / $900.93 / $1,722.41	Professional		$536.22	$900.93	$1,722.41
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 $621.03 / $862.63 / $1,573.49	Professional		$621.03	$862.63	$1,573.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $395.76 / $517.07 / $793.15	Professional		$395.76	$517.07	$793.15