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 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.26 / $605.26 / $1,434.81	Professional		$558.26	$605.26	$1,434.81
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 $572.53 / $878.63 / $1,274.01	Professional		$572.53	$878.63	$1,274.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $858.79 / $1,317.94 / $1,911.02	Professional	50	$858.79	$1,317.94	$1,911.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.43 / $1,156.07 / $1,742.48	Professional		$754.43	$1,156.07	$1,742.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $788.61 / $1,276.01 / $2,489.23	Professional		$788.61	$1,276.01	$2,489.23
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $898.25 / $1,079.03 / $2,171.16	Professional		$898.25	$1,079.03	$2,171.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $496.96 / $642.32 / $875.90	Professional		$496.96	$642.32	$875.90