Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $925.55 / $9,859.00	Facility		$100.00	$925.55	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.82 / $501.16 / $837.71	Professional		$469.82	$501.16	$837.71
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 $534.36 / $895.52 / $1,365.89	Professional		$534.36	$895.52	$1,365.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $2,000.36 / $2,070.38	Facility		$617.76	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.13 / $1,000.03 / $1,659.43	Professional		$680.13	$1,000.03	$1,659.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $611.74 / $1,003.62 / $1,888.14	Professional		$611.74	$1,003.62	$1,888.14
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 $639.66 / $836.48 / $1,551.04	Professional		$639.66	$836.48	$1,551.04
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $412.51 / $495.01 / $727.67	Professional		$412.51	$495.01	$727.67