Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,543.89 / $6,067.00	Facility		$100.00	$1,543.89	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $397.82 / $1,543.89	Professional		$349.01	$397.82	$1,543.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.59 / $862.85 / $1,255.98	Professional		$528.59	$862.85	$1,255.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.75 / $1,024.88 / $1,460.49	Professional		$624.75	$1,024.88	$1,460.49
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $529.53 / $1,050.48 / $1,744.32	Professional		$529.53	$1,050.48	$1,744.32
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 $605.29 / $796.51 / $1,542.03	Professional		$605.29	$796.51	$1,542.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $360.96 / $397.06 / $505.34	Professional		$360.96	$397.06	$505.34