Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,298.04 / $2,532.63	Facility		$100.00	$1,298.04	$2,532.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.78 / $754.08 / $966.39	Professional		$663.78	$754.08	$966.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $36,315.22 / $63,311.75	Facility		$3,669.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.20 / $1,263.19 / $1,938.02	Professional		$758.20	$1,263.19	$1,938.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $871.93 / $871.93	Facility		$871.93	$871.93	$871.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.15 / $1,372.85 / $2,186.07	Professional		$910.15	$1,372.85	$2,186.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $867.98 / $1,365.51 / $2,679.02	Professional		$867.98	$1,365.51	$2,679.02
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 $855.99 / $1,172.13 / $2,224.12	Professional		$855.99	$1,172.13	$2,224.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $583.42 / $641.77 / $816.80	Professional		$583.42	$641.77	$816.80