Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,250.44 / $2,653.51	Facility		$100.00	$2,250.44	$2,653.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.45 / $791.34 / $1,096.07	Professional		$655.45	$791.34	$1,096.07
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 $685.75 / $1,134.36 / $1,519.11	Professional		$685.75	$1,134.36	$1,519.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.71 / $1,306.21 / $1,351.93	Facility		$1,151.71	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.78 / $1,528.58 / $2,450.38	Professional		$944.78	$1,528.58	$2,450.38
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $838.82 / $1,395.29 / $2,653.78	Professional		$838.82	$1,395.29	$2,653.78
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 $800.54 / $1,397.39 / $2,298.35	Professional		$800.54	$1,397.39	$2,298.35
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $553.01 / $666.63 / $799.96	Professional		$553.01	$666.63	$799.96