Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,195.48 / $8,965.00	Facility		$100.00	$2,195.48	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.04 / $769.76 / $2,195.48	Professional		$543.04	$769.76	$2,195.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.11 / $993.83 / $1,502.77	Professional		$639.11	$993.83	$1,502.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.56 / $1,086.74 / $1,719.03	Professional		$665.56	$1,086.74	$1,719.03
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $582.85 / $1,156.26 / $1,919.97	Professional		$582.85	$1,156.26	$1,919.97
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.85 / $866.05 / $1,762.65	Professional		$582.85	$866.05	$1,762.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $413.92 / $455.31 / $579.49	Professional		$413.92	$455.31	$579.49