Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,259.71 / $2,331.21	Facility		$100.00	$2,259.71	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.22 / $664.05 / $814.69	Professional		$623.22	$664.05	$814.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,476.90 / $8,391.99 / $15,957.65	Facility		$3,476.90	$8,391.99	$15,957.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.64 / $1,118.69 / $1,789.70	Professional		$623.64	$1,118.69	$1,789.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.99 / $1,190.32 / $1,937.95	Professional		$655.99	$1,190.32	$1,937.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $713.94 / $1,234.97 / $2,203.58	Professional		$713.94	$1,234.97	$2,203.58
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.86 / $956.84 / $2,028.49	Professional		$702.86	$956.84	$2,028.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $492.37 / $541.61 / $689.32	Professional		$492.37	$541.61	$689.32