Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $8,965.00	Facility		$100.00	$1,749.77	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.76 / $613.57 / $877.40	Professional		$572.76	$613.57	$877.40
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 $662.46 / $1,112.79 / $1,693.29	Professional		$662.46	$1,112.79	$1,693.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.64 / $1,306.21 / $1,351.93	Facility		$767.64	$1,306.21	$1,351.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.69 / $1,289.13 / $2,049.92	Professional		$842.69	$1,289.13	$2,049.92
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,244.18 / $2,340.71	Professional		$758.37	$1,244.18	$2,340.71
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 $766.55 / $1,051.86 / $1,946.61	Professional		$766.55	$1,051.86	$1,946.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $516.12 / $567.73 / $722.57	Professional		$516.12	$567.73	$722.57