Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,286.03 / $3,313.74	Facility		$100.00	$2,286.03	$3,313.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.99 / $675.13 / $776.22	Professional		$596.99	$675.13	$776.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.55 / $1,064.73 / $1,703.38	Professional		$593.55	$1,064.73	$1,703.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.40 / $2,472.40 / $2,558.92	Facility		$2,472.40	$2,472.40	$2,558.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.32 / $1,090.46 / $1,676.77	Professional		$614.32	$1,090.46	$1,676.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $679.50 / $1,175.40 / $2,097.28	Professional		$679.50	$1,175.40	$2,097.28
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 $686.08 / $957.82 / $2,082.87	Professional		$686.08	$957.82	$2,082.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $482.97 / $531.27 / $676.16	Professional		$482.97	$531.27	$676.16