Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $2,363.71	Facility		$100.00	$2,331.21	$2,363.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.46 / $712.70 / $1,059.23	Professional		$567.46	$712.70	$1,059.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $18,074.81 / $31,511.52	Facility		$5,299.00	$18,074.81	$31,511.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.26 / $1,321.28 / $1,938.71	Professional		$767.26	$1,321.28	$1,938.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.01 / $883.01 / $883.01	Facility		$883.01	$883.01	$883.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.11 / $1,253.59 / $2,146.89	Professional		$959.11	$1,253.59	$2,146.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $878.35 / $1,381.82 / $2,711.03	Professional		$878.35	$1,381.82	$2,711.03
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 $883.76 / $1,238.59 / $5,550.58	Professional		$883.76	$1,238.59	$5,550.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $615.29 / $676.83 / $861.42	Professional		$615.29	$676.83	$861.42