Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,244.76 / $2,512.89	Facility		$100.00	$1,244.76	$2,512.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.21 / $753.17 / $959.94	Professional		$674.21	$753.17	$959.94
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 $727.80 / $1,212.54 / $1,860.31	Professional		$727.80	$1,212.54	$1,860.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.97 / $836.97 / $836.97	Facility		$836.97	$836.97	$836.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.00 / $1,315.79 / $2,177.26	Professional		$903.00	$1,315.79	$2,177.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $833.18 / $1,310.76 / $2,571.61	Professional		$833.18	$1,310.76	$2,571.61
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 $849.27 / $1,086.16 / $2,033.40	Professional		$849.27	$1,086.16	$2,033.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $579.16 / $637.08 / $810.82	Professional		$579.16	$637.08	$810.82