Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,274.38 / $3,274.38	Facility		$100.00	$3,274.38	$3,274.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.21 / $935.28 / $1,068.69	Professional		$843.21	$935.28	$1,068.69
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 $824.84 / $1,479.60 / $2,367.10	Professional		$824.84	$1,479.60	$2,367.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.44 / $1,483.36 / $2,310.64	Professional		$835.44	$1,483.36	$2,310.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $944.27 / $1,633.40 / $2,914.49	Professional		$944.27	$1,633.40	$2,914.49
United Facility/Professional Facility Modifier Low / Median / High Price $972.00 / $4,574.00 / $11,155.00	Facility		$972.00	$4,574.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $871.56 / $1,288.14 / $2,601.38	Professional		$871.56	$1,288.14	$2,601.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $655.11 / $720.62 / $917.15	Professional		$655.11	$720.62	$917.15