Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,014.76 / $6,067.00	Facility		$100.00	$2,014.76	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.23 / $334.23 / $2,014.76	Professional		$334.23	$334.23	$2,014.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $8,973.87 / $15,644.99	Facility		$1,497.60	$8,973.87	$15,644.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.76 / $931.74 / $1,356.26	Professional		$609.76	$931.74	$1,356.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.47 / $1,204.79 / $1,782.71	Professional		$695.47	$1,204.79	$1,782.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $659.13 / $1,307.58 / $2,171.23	Professional		$659.13	$1,307.58	$2,171.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.69 / $1,073.06 / $2,247.73	Professional		$745.69	$1,073.06	$2,247.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $450.06 / $495.07 / $630.08	Professional		$450.06	$495.07	$630.08