Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,321.13 / $5,229.63	Facility		$100.00	$2,321.13	$5,229.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.70 / $765.18 / $916.57	Professional		$579.70	$765.18	$916.57
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 $528.28 / $859.58 / $1,200.40	Professional		$528.28	$859.58	$1,200.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.78 / $3,906.58 / $4,043.31	Facility		$902.78	$3,906.58	$4,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.99 / $1,133.29 / $1,921.34	Professional		$737.99	$1,133.29	$1,921.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $1,064.15 / $1,999.95	Professional		$639.79	$1,064.15	$1,999.95
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 $736.66 / $1,071.66 / $2,043.24	Professional		$736.66	$1,071.66	$2,043.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $499.24 / $632.33 / $886.24	Professional		$499.24	$632.33	$886.24