Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,553.16 / $6,067.00	Facility		$100.00	$2,553.16	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.07 / $912.75 / $2,553.16	Professional		$651.07	$912.75	$2,553.16
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 $763.63 / $1,204.95 / $1,823.57	Professional		$763.63	$1,204.95	$1,823.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.99 / $1,306.14 / $2,086.37	Professional		$810.99	$1,306.14	$2,086.37
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $707.27 / $1,403.08 / $2,329.82	Professional		$707.27	$1,403.08	$2,329.82
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.48 / $1,092.76 / $2,068.92	Professional		$820.48	$1,092.76	$2,068.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $495.82 / $545.40 / $694.15	Professional		$495.82	$545.40	$694.15