Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,454.45 / $6,067.00	Facility		$100.00	$1,454.45	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.65 / $518.74 / $698.29	Professional		$481.65	$518.74	$698.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $3,700.00	Facility		$1,449.90	$1,611.00	$3,700.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.28 / $887.34 / $1,367.56	Professional		$515.28	$887.34	$1,367.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.57 / $1,751.69 / $1,812.99	Facility		$592.57	$1,751.69	$1,812.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.86 / $853.01 / $1,376.00	Professional		$629.86	$853.01	$1,376.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $589.89 / $967.77 / $1,820.70	Professional		$589.89	$967.77	$1,820.70
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 $531.23 / $688.00 / $1,451.55	Professional		$531.23	$688.00	$1,451.55
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $394.87 / $434.36 / $552.82	Professional		$394.87	$434.36	$552.82