Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,748.93 / $6,067.00	Facility		$100.00	$1,748.93	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.72 / $315.72 / $1,748.93	Professional		$315.72	$315.72	$1,748.93
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 $514.92 / $788.84 / $1,148.25	Professional		$514.92	$788.84	$1,148.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.32 / $1,010.48 / $1,497.42	Professional		$586.32	$1,010.48	$1,497.42
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $558.04 / $1,107.04 / $1,838.24	Professional		$558.04	$1,107.04	$1,838.24
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.89 / $811.70 / $1,474.57	Professional		$639.89	$811.70	$1,474.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $387.34 / $464.81 / $683.27	Professional		$387.34	$464.81	$683.27