Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,942.46 / $3,313.74	Facility		$100.00	$1,942.46	$3,313.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.49 / $629.73 / $835.67	Professional		$456.49	$629.73	$835.67
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 $480.80 / $794.88 / $1,129.80	Professional		$480.80	$794.88	$1,129.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.21 / $2,472.40 / $2,558.92	Facility		$835.21	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.76 / $1,017.05 / $1,822.88	Professional		$688.76	$1,017.05	$1,822.88
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $596.22 / $1,043.17 / $1,943.29	Professional		$596.22	$1,043.17	$1,943.29
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.50 / $1,025.79 / $2,013.55	Professional		$774.50	$1,025.79	$2,013.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $385.20 / $532.14 / $638.57	Professional		$385.20	$532.14	$638.57