Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,765.36 / $2,341.64	Facility		$100.00	$1,765.36	$2,341.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.39 / $525.09 / $731.48	Professional		$523.39	$525.09	$731.48
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 $562.17 / $1,003.88 / $1,613.32	Professional		$562.17	$1,003.88	$1,613.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,751.69 / $1,751.69 / $1,812.99	Facility		$1,751.69	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.84 / $1,063.56 / $1,730.13	Professional		$549.84	$1,063.56	$1,730.13
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $643.58 / $1,113.26 / $1,986.41	Professional		$643.58	$1,113.26	$1,986.41
United Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $4,314.00 / $9,565.00	Facility		$691.00	$4,314.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.95 / $839.93 / $1,645.51	Professional		$599.95	$839.93	$1,645.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $447.00 / $491.70 / $625.79	Professional		$447.00	$491.70	$625.79