Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,326.29 / $5,229.63	Facility		$100.00	$2,326.29	$5,229.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.20 / $751.82 / $991.13	Professional		$583.20	$751.82	$991.13
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 $629.46 / $1,048.48 / $1,472.00	Professional		$629.46	$1,048.48	$1,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.85 / $3,906.58 / $4,043.31	Facility		$1,084.85	$3,906.58	$4,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.02 / $1,349.19 / $2,262.04	Professional		$873.02	$1,349.19	$2,262.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $785.39 / $1,319.59 / $2,522.80	Professional		$785.39	$1,319.59	$2,522.80
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 $901.70 / $1,278.56 / $2,418.10	Professional		$901.70	$1,278.56	$2,418.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $492.66 / $620.48 / $744.58	Professional		$492.66	$620.48	$744.58