Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,081.54 / $9,859.00	Facility		$100.00	$2,081.54	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.99 / $583.75 / $2,081.54	Professional		$535.99	$583.75	$2,081.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $13,932.60 / $24,290.01	Facility		$5,299.00	$13,932.60	$24,290.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.25 / $927.92 / $1,373.28	Professional		$608.25	$927.92	$1,373.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.74 / $1,158.03 / $1,681.01	Professional		$710.74	$1,158.03	$1,681.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $621.36 / $1,232.65 / $2,046.82	Professional		$621.36	$1,232.65	$2,046.82
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 $715.70 / $956.61 / $1,651.25	Professional		$715.70	$956.61	$1,651.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $427.99 / $470.79 / $599.19	Professional		$427.99	$470.79	$599.19