Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $14,929.00	Facility		$100.00	$2,331.21	$14,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.96 / $974.82 / $974.82	Professional		$568.96	$974.82	$974.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.49 / $965.19 / $1,419.54	Professional		$648.49	$965.19	$1,419.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.25 / $1,165.86 / $1,847.64	Professional		$716.25	$1,165.86	$1,847.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $1,239.28 / $2,057.82	Professional		$624.70	$1,239.28	$2,057.82
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $861.80 / $1,195.35 / $3,663.59	Professional		$861.80	$1,195.35	$3,663.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,927.68 / $2,920.00 / $4,735.00	Professional		$1,927.68	$2,920.00	$4,735.00