Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,754.80 / $9,859.00	Facility		$100.00	$1,754.80	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.17 / $619.80 / $1,754.80	Professional		$449.17	$619.80	$1,754.80
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 $508.11 / $804.99 / $1,216.33	Professional		$508.11	$804.99	$1,216.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.87 / $921.01 / $1,392.36	Professional		$541.87	$921.01	$1,392.36
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $471.76 / $935.88 / $1,554.02	Professional		$471.76	$935.88	$1,554.02
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 $576.24 / $726.95 / $1,376.32	Professional		$576.24	$726.95	$1,376.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $330.44 / $363.48 / $462.62	Professional		$330.44	$363.48	$462.62