Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,189.10 / $3,313.74	Facility		$100.00	$2,189.10	$3,313.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.80 / $751.82 / $887.27	Professional		$656.80	$751.82	$887.27
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 $544.44 / $877.06 / $1,224.81	Professional		$544.44	$877.06	$1,224.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.23 / $2,472.40 / $2,558.92	Facility		$910.23	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.51 / $1,161.20 / $1,933.11	Professional		$755.51	$1,161.20	$1,933.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $655.62 / $1,086.46 / $2,033.21	Professional		$655.62	$1,086.46	$2,033.21
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 $767.26 / $1,165.55 / $2,220.23	Professional		$767.26	$1,165.55	$2,220.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $451.58 / $538.54 / $646.25	Professional		$451.58	$538.54	$646.25