Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,124.91 / $6,067.00	Facility		$100.00	$1,124.91	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $420.07 / $1,124.91	Professional		$326.33	$420.07	$1,124.91
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 $370.43 / $524.28 / $773.21	Professional		$370.43	$524.28	$773.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.41 / $779.32 / $1,233.96	Professional		$432.41	$779.32	$1,233.96
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $389.44 / $740.46 / $1,386.36	Professional		$389.44	$740.46	$1,386.36
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 $534.46 / $801.48 / $1,598.10	Professional		$534.46	$801.48	$1,598.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $348.30 / $544.16	Professional		$268.52	$348.30	$544.16