Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,053.96 / $6,067.00	Facility		$100.00	$2,053.96	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.78 / $521.54 / $2,053.96	Professional		$448.78	$521.54	$2,053.96
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 $689.63 / $1,092.74 / $1,590.62	Professional		$689.63	$1,092.74	$1,590.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $1,286.15 / $1,841.60	Professional		$776.90	$1,286.15	$1,841.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $670.61 / $1,330.36 / $2,209.06	Professional		$670.61	$1,330.36	$2,209.06
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 $772.51 / $1,028.64 / $3,312.61	Professional		$772.51	$1,028.64	$3,312.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $463.19 / $509.51 / $648.47	Professional		$463.19	$509.51	$648.47