Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,057.55 / $3,313.74	Facility		$100.00	$2,057.55	$3,313.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.82 / $616.83 / $795.74	Professional		$545.82	$616.83	$795.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.00 / $6,000.00	Facility		$3,302.10	$3,669.00	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.82 / $1,083.58 / $1,741.44	Professional		$606.82	$1,083.58	$1,741.44
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 $610.04 / $1,149.53 / $1,860.22	Professional		$610.04	$1,149.53	$1,860.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $694.68 / $1,201.66 / $2,144.13	Professional		$694.68	$1,201.66	$2,144.13
United Facility/Professional Facility Modifier Low / Median / High Price $854.00 / $4,487.00 / $9,949.00	Facility		$854.00	$4,487.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.30 / $947.30 / $1,791.87	Professional		$653.30	$947.30	$1,791.87
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $484.77 / $533.25 / $678.68	Professional		$484.77	$533.25	$678.68