Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,073.58 / $6,067.00	Facility		$100.00	$2,073.58	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.88 / $587.11 / $769.45	Professional		$541.88	$587.11	$769.45
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 $586.44 / $1,005.63 / $1,498.99	Professional		$586.44	$1,005.63	$1,498.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.41 / $1,751.69 / $1,812.99	Facility		$674.41	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.31 / $1,063.35 / $1,754.59	Professional		$768.31	$1,063.35	$1,754.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $671.35 / $1,101.42 / $2,072.12	Professional		$671.35	$1,101.42	$2,072.12
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 $686.16 / $960.17 / $1,769.83	Professional		$686.16	$960.17	$1,769.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $464.93 / $511.42 / $650.90	Professional		$464.93	$511.42	$650.90