Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,965.86 / $2,341.64	Facility		$100.00	$1,965.86	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.80 / $695.10 / $1,224.93	Professional		$573.80	$695.10	$1,224.93
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 $748.50 / $1,247.02 / $1,629.00	Professional		$748.50	$1,247.02	$1,629.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.82 / $1,751.69 / $1,812.99	Facility		$1,243.82	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.30 / $1,565.36 / $2,767.76	Professional		$968.30	$1,565.36	$2,767.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $915.57 / $1,539.24 / $2,939.62	Professional		$915.57	$1,539.24	$2,939.62
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 $662.50 / $1,315.83 / $2,476.44	Professional		$662.50	$1,315.83	$2,476.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $583.66 / $716.98 / $860.38	Professional		$583.66	$716.98	$860.38