Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,075.27 / $6,067.00	Facility		$100.00	$1,075.27	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.81 / $345.22 / $706.05	Professional		$315.81	$345.22	$706.05
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 $347.58 / $487.71 / $710.25	Professional		$347.58	$487.71	$710.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.74 / $726.70 / $1,133.73	Professional		$404.74	$726.70	$1,133.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $364.12 / $686.14 / $1,284.66	Professional		$364.12	$686.14	$1,284.66
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 $455.07 / $671.65 / $1,420.79	Professional		$455.07	$671.65	$1,420.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $256.74 / $330.35 / $508.83	Professional		$256.74	$330.35	$508.83