Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $998.04 / $6,067.00	Facility		$100.00	$998.04	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.28 / $378.23 / $870.67	Professional		$248.28	$378.23	$870.67
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 $328.58 / $521.61 / $865.22	Professional		$328.58	$521.61	$865.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.89 / $891.70 / $1,435.68	Professional		$517.89	$891.70	$1,435.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $402.94 / $808.79 / $1,580.66	Professional		$402.94	$808.79	$1,580.66
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 $598.83 / $822.57 / $1,632.19	Professional		$598.83	$822.57	$1,632.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $249.13 / $384.44 / $530.82	Professional		$249.13	$384.44	$530.82