Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $8,965.00	Facility		$100.00	$1,749.77	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.16 / $884.53 / $1,058.88	Professional		$725.16	$884.53	$1,058.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.96 / $1,139.75 / $1,669.86	Facility		$449.96	$1,139.75	$1,669.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.11 / $1,324.03 / $2,036.11	Professional		$772.11	$1,324.03	$2,036.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.07 / $903.07 / $903.07	Facility		$903.07	$903.07	$903.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.40 / $1,496.74 / $2,324.16	Professional		$1,016.40	$1,496.74	$2,324.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $883.91 / $1,450.14 / $2,728.19	Professional		$883.91	$1,450.14	$2,728.19
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.15 / $1,269.85 / $2,239.51	Professional		$897.15	$1,269.85	$2,239.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $632.89 / $696.18 / $886.05	Professional		$632.89	$696.18	$886.05