Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.47 / $634.55 / $827.43	Professional		$580.47	$634.55	$827.43
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 $633.34 / $1,055.17 / $1,618.88	Professional		$633.34	$1,055.17	$1,618.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $728.34 / $1,751.69 / $1,812.99	Facility		$728.34	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.72 / $1,274.99 / $1,895.40	Professional		$861.72	$1,274.99	$1,895.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $725.05 / $1,189.52 / $2,237.87	Professional		$725.05	$1,189.52	$2,237.87
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 $833.11 / $1,114.05 / $4,076.36	Professional		$833.11	$1,114.05	$4,076.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $500.21 / $550.23 / $700.29	Professional		$500.21	$550.23	$700.29