Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,124.95 / $6,067.00	Facility		$100.00	$1,124.95	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.74 / $435.82 / $630.19	Professional		$281.74	$435.82	$630.19
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 $330.14 / $540.96 / $895.29	Professional		$330.14	$540.96	$895.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.08 / $728.29 / $1,424.67	Professional		$356.08	$728.29	$1,424.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $343.44 / $758.72 / $1,544.11	Professional		$343.44	$758.72	$1,544.11
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 $637.34 / $882.47 / $1,522.26	Professional		$637.34	$882.47	$1,522.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $235.17 / $369.43 / $554.15	Professional		$235.17	$369.43	$554.15