Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,914.76 / $6,067.00	Facility		$100.00	$1,914.76	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $582.03 / $744.17	Professional		$524.04	$582.03	$744.17
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 $569.62 / $949.01 / $1,456.01	Professional		$569.62	$949.01	$1,456.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.05 / $1,751.69 / $1,812.99	Facility		$655.05	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $1,091.47 / $1,734.00	Professional		$728.00	$1,091.47	$1,734.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $652.10 / $1,069.83 / $2,012.71	Professional		$652.10	$1,069.83	$2,012.71
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.10 / $916.45 / $1,576.52	Professional		$652.10	$916.45	$1,576.52
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $450.02 / $495.02 / $630.03	Professional		$450.02	$495.02	$630.03