Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,216.60 / $6,067.00	Facility		$100.00	$1,216.60	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.87 / $690.28 / $1,015.09	Professional		$599.87	$690.28	$1,015.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.66 / $1,124.33 / $1,675.93	Professional		$655.66	$1,124.33	$1,675.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.01 / $3,906.58 / $4,043.31	Facility		$754.01	$3,906.58	$4,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.35 / $1,181.33 / $1,960.29	Professional		$876.35	$1,181.33	$1,960.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $1,231.43 / $2,316.73	Professional		$750.60	$1,231.43	$2,316.73
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 $736.48 / $1,017.67 / $1,997.61	Professional		$736.48	$1,017.67	$1,997.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $522.01 / $626.41 / $920.83	Professional		$522.01	$626.41	$920.83