Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,524.86 / $6,067.00	Facility		$100.00	$1,524.86	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.19 / $390.77 / $1,524.86	Professional		$343.19	$390.77	$1,524.86
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 $520.25 / $845.35 / $1,230.51	Professional		$520.25	$845.35	$1,230.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.16 / $1,004.55 / $1,430.33	Professional		$611.16	$1,004.55	$1,430.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $518.79 / $1,029.18 / $1,708.95	Professional		$518.79	$1,029.18	$1,708.95
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 $590.07 / $845.28 / $1,515.12	Professional		$590.07	$845.28	$1,515.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $354.48 / $425.38 / $671.39	Professional		$354.48	$425.38	$671.39