Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,536.21 / $9,859.00	Facility		$100.00	$2,536.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.56 / $757.37 / $2,536.21	Professional		$755.56	$757.37	$2,536.21
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 $775.39 / $1,186.64 / $1,748.11	Professional		$775.39	$1,186.64	$1,748.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.57 / $1,487.54 / $2,140.33	Professional		$900.57	$1,487.54	$2,140.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $790.96 / $1,569.11 / $2,605.50	Professional		$790.96	$1,569.11	$2,605.50
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 $953.07 / $1,195.04 / $2,148.61	Professional		$953.07	$1,195.04	$2,148.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $555.11 / $666.13 / $979.21	Professional		$555.11	$666.13	$979.21