Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,918.23 / $9,859.00	Facility		$100.00	$1,918.23	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.24 / $490.47 / $1,918.23	Professional		$428.24	$490.47	$1,918.23
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 $634.98 / $972.86 / $1,425.05	Professional		$634.98	$972.86	$1,425.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.05 / $1,140.48 / $1,637.93	Professional		$698.05	$1,140.48	$1,637.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $598.40 / $1,187.10 / $1,971.19	Professional		$598.40	$1,187.10	$1,971.19
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 $701.70 / $929.50 / $1,799.50	Professional		$701.70	$929.50	$1,799.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $419.71 / $461.68 / $587.59	Professional		$419.71	$461.68	$587.59