Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $440.12 / $8,965.00	Facility		$100.00	$440.12	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.27 / $398.60 / $440.13	Professional		$263.27	$398.60	$440.13
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 $397.10 / $717.24 / $1,144.89	Professional		$397.10	$717.24	$1,144.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.29 / $904.10 / $1,116.23	Professional		$573.29	$904.10	$1,116.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $431.76 / $837.06 / $1,491.40	Professional		$431.76	$837.06	$1,491.40
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.12 / $678.95 / $1,491.40	Professional		$463.12	$678.95	$1,491.40
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $307.17 / $368.60 / $568.52	Professional		$307.17	$368.60	$568.52