Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,092.48 / $6,067.00	Facility		$100.00	$2,092.48	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.97 / $637.17 / $827.55	Professional		$523.97	$637.17	$827.55
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 $630.76 / $1,081.63 / $1,612.28	Professional		$630.76	$1,081.63	$1,612.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.37 / $1,751.69 / $1,812.99	Facility		$725.37	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.02 / $1,207.22 / $1,886.03	Professional		$826.02	$1,207.22	$1,886.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $722.09 / $1,184.66 / $2,228.73	Professional		$722.09	$1,184.66	$2,228.73
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 $736.67 / $937.05 / $1,837.36	Professional		$736.67	$937.05	$1,837.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $500.21 / $550.23 / $700.29	Professional		$500.21	$550.23	$700.29