Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,678.41 / $9,859.00	Facility		$100.00	$2,678.41	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.11 / $1,165.47 / $2,678.41	Professional		$702.11	$1,165.47	$2,678.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.40 / $1,307.95 / $2,027.25	Professional		$795.40	$1,307.95	$2,027.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.50 / $1,418.48 / $2,265.82	Professional		$878.50	$1,418.48	$2,265.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $766.52 / $1,520.62 / $2,524.98	Professional		$766.52	$1,520.62	$2,524.98
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 $942.32 / $1,363.12 / $2,363.21	Professional		$942.32	$1,363.12	$2,363.21
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $539.10 / $593.01 / $754.74	Professional		$539.10	$593.01	$754.74