Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,189.50 / $6,067.00	Facility		$100.00	$2,189.50	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.67 / $553.79 / $2,189.50	Professional		$476.67	$553.79	$2,189.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.02 / $1,180.23 / $1,717.97	Professional		$733.02	$1,180.23	$1,717.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.84 / $1,402.32 / $2,002.07	Professional		$844.84	$1,402.32	$2,002.07
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $724.31 / $1,436.89 / $2,385.94	Professional		$724.31	$1,436.89	$2,385.94
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.90 / $1,026.46 / $2,136.63	Professional		$860.90	$1,026.46	$2,136.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $498.11 / $547.91 / $697.35	Professional		$498.11	$547.91	$697.35