Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,912.52 / $6,067.00	Facility		$100.00	$1,912.52	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.16 / $543.08 / $543.08	Professional		$304.16	$543.08	$543.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.24 / $862.22 / $1,378.52	Professional		$477.24	$862.22	$1,378.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.64 / $1,201.72 / $1,647.89	Professional		$828.64	$1,201.72	$1,647.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $519.86 / $1,007.88 / $1,795.74	Professional		$519.86	$1,007.88	$1,795.74
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 $617.77 / $905.94 / $1,737.44	Professional		$617.77	$905.94	$1,737.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $355.24 / $390.76 / $497.34	Professional		$355.24	$390.76	$497.34