Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.77 / $911.62 / $1,627.43	Professional		$192.77	$911.62	$1,627.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.00 / $6,000.00	Facility		$3,302.10	$3,669.00	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $734.37 / $2,321.52	Professional		$345.92	$734.37	$2,321.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $518.88 / $1,101.56 / $3,482.28	Professional	50	$518.88	$1,101.56	$3,482.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.69 / $1,139.34 / $3,571.39	Professional		$394.69	$1,139.34	$3,571.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $334.18 / $1,249.88 / $4,049.97	Professional		$334.18	$1,249.88	$4,049.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,487.00 / $4,487.00 / $9,949.00	Facility		$4,487.00	$4,487.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.57 / $2,104.91 / $4,255.88	Professional		$1,416.57	$2,104.91	$4,255.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $219.18 / $306.85 / $1,214.59	Professional		$219.18	$306.85	$1,214.59