Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,875.87 / $9,859.00	Facility		$100.00	$1,875.87	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.46 / $677.79 / $1,875.87	Professional		$485.46	$677.79	$1,875.87
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 $564.99 / $900.37 / $1,358.60	Professional		$564.99	$900.37	$1,358.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.40 / $974.67 / $1,556.91	Professional		$605.40	$974.67	$1,556.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $526.94 / $1,045.33 / $1,735.79	Professional		$526.94	$1,045.33	$1,735.79
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 $600.40 / $824.19 / $1,874.80	Professional		$600.40	$824.19	$1,874.80
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $368.72 / $405.59 / $516.21	Professional		$368.72	$405.59	$516.21