Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $868.64 / $6,067.00	Facility		$100.00	$868.64	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $555.83 / $868.65	Professional		$132.75	$555.83	$868.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.39 / $5,186.00 / $8,238.00	Facility		$4,667.39	$5,186.00	$8,238.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $435.71 / $1,400.91	Professional		$222.59	$435.71	$1,400.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.26 / $754.58 / $2,426.65	Professional		$375.26	$754.58	$2,426.65
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $287.82 / $815.03 / $2,515.59	Professional		$287.82	$815.03	$2,515.59
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,112.58 / $1,472.00 / $3,089.51	Professional		$1,112.58	$1,472.00	$3,089.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $158.31 / $654.32 / $981.48	Professional		$158.31	$654.32	$981.48