Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,221.79 / $6,067.00	Facility		$100.00	$1,221.79	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $351.02 / $1,221.79	Professional		$266.00	$351.02	$1,221.79
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 $411.78 / $628.22 / $953.78	Professional		$411.78	$628.22	$953.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.87 / $910.51 / $1,520.90	Professional		$520.87	$910.51	$1,520.90
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $469.59 / $905.90 / $1,696.12	Professional		$469.59	$905.90	$1,696.12
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 $600.34 / $816.69 / $1,581.10	Professional		$600.34	$816.69	$1,581.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $277.67 / $369.55 / $443.46	Professional		$277.67	$369.55	$443.46