Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $9,772.37	Facility		$2,089.30	$2,398.83	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,202.26	Professional		$537.03	$660.69	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $6,309.57	Facility		$3,467.37	$4,677.35	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,148.15 / $1,621.81	Professional		$562.34	$1,148.15	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,819.70	Professional		$676.08	$977.24	$1,819.70
Harvard Pilgrim Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,479.11	Professional		$660.69	$977.24	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,698.24	Professional		$645.65	$933.25	$1,698.24
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $724.44	Facility		$446.68	$446.68	$724.44