Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,290.98 / $9,859.00	Facility		$100.00	$2,290.98	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.44 / $584.16 / $2,290.98	Professional		$508.44	$584.16	$2,290.98
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 $777.24 / $1,253.85 / $1,825.14	Professional		$777.24	$1,253.85	$1,825.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.30 / $1,488.31 / $2,122.94	Professional		$901.30	$1,488.31	$2,122.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $769.48 / $1,526.49 / $2,534.73	Professional		$769.48	$1,526.49	$2,534.73
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 $884.00 / $1,168.98 / $3,764.55	Professional		$884.00	$1,168.98	$3,764.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $528.41 / $581.26 / $739.79	Professional		$528.41	$581.26	$739.79