Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,595.54 / $6,067.00	Facility		$100.00	$1,595.54	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.38 / $635.04 / $821.91	Professional		$586.38	$635.04	$821.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.14 / $1,057.46 / $1,608.14	Professional		$629.14	$1,057.46	$1,608.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.51 / $1,751.69 / $1,812.99	Facility		$723.51	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.25 / $1,140.33 / $1,877.56	Professional		$753.25	$1,140.33	$1,877.56
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $720.23 / $1,181.60 / $2,222.98	Professional		$720.23	$1,181.60	$2,222.98
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.09 / $935.26 / $1,901.41	Professional		$608.09	$935.26	$1,901.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $499.46 / $549.41 / $699.24	Professional		$499.46	$549.41	$699.24