Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,558.51 / $2,678.80	Facility		$100.00	$1,558.51	$2,678.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.65 / $570.94 / $835.76	Professional		$458.65	$570.94	$835.76
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 $581.27 / $968.40 / $1,265.03	Professional		$581.27	$968.40	$1,265.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.94 / $2,000.36 / $2,070.38	Facility		$963.94	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.23 / $1,184.35 / $1,960.37	Professional		$715.23	$1,184.35	$1,960.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $725.84 / $1,219.54 / $2,331.52	Professional		$725.84	$1,219.54	$2,331.52
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 $631.07 / $1,022.29 / $4,075.39	Professional		$631.07	$1,022.29	$4,075.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $408.79 / $509.65 / $611.58	Professional		$408.79	$509.65	$611.58