Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,328.07 / $6,067.00	Facility		$100.00	$2,328.07	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.02 / $682.87 / $1,613.47	Professional		$459.02	$682.87	$1,613.47
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 $474.52 / $746.42 / $1,055.91	Professional		$474.52	$746.42	$1,055.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.51 / $1,033.41 / $1,646.28	Professional		$649.51	$1,033.41	$1,646.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $653.61 / $1,138.28 / $2,328.06	Professional		$653.61	$1,138.28	$2,328.06
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 $882.60 / $1,071.23 / $2,080.23	Professional		$882.60	$1,071.23	$2,080.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $388.73 / $544.22 / $671.34	Professional		$388.73	$544.22	$671.34