Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $9,859.00	Facility		$100.00	$1,749.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.89 / $1,001.98 / $1,001.98	Professional		$719.89	$1,001.98	$1,001.98
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 $816.43 / $1,313.75 / $1,930.53	Professional		$816.43	$1,313.75	$1,930.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.58 / $1,607.74 / $2,191.55	Professional		$951.58	$1,607.74	$2,191.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $813.92 / $1,614.65 / $2,681.13	Professional		$813.92	$1,614.65	$2,681.13
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $934.78 / $1,198.33 / $2,024.71	Professional		$934.78	$1,198.33	$2,024.71
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $498.18 / $589.12 / $697.45	Professional		$498.18	$589.12	$697.45