Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,081.73 / $6,067.00	Facility		$100.00	$2,081.73	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.51 / $776.11 / $934.84	Professional		$696.51	$776.11	$934.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.60 / $1,156.58 / $1,774.47	Professional		$668.60	$1,156.58	$1,774.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.03 / $781.03 / $781.03	Facility		$781.03	$781.03	$781.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.98 / $1,201.38 / $1,854.16	Professional		$838.98	$1,201.38	$1,854.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $765.41 / $1,255.73 / $2,362.44	Professional		$765.41	$1,255.73	$2,362.44
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $738.56 / $927.08 / $1,948.34	Professional		$738.56	$927.08	$1,948.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $504.49 / $618.62 / $934.28	Professional		$504.49	$618.62	$934.28