Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,856.38 / $9,859.00	Facility		$100.00	$2,856.38	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.02 / $1,224.95 / $2,856.38	Professional		$719.02	$1,224.95	$2,856.38
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 $823.42 / $1,356.92 / $2,102.65	Professional		$823.42	$1,356.92	$2,102.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.55 / $1,469.99 / $2,348.12	Professional		$911.55	$1,469.99	$2,348.12
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $795.03 / $1,577.18 / $2,618.91	Professional		$795.03	$1,577.18	$2,618.91
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 $924.57 / $1,201.66 / $3,836.07	Professional		$924.57	$1,201.66	$3,836.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $558.79 / $614.66 / $782.31	Professional		$558.79	$614.66	$782.31