Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,604.45 / $6,067.00	Facility		$100.00	$1,604.45	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.16 / $610.32 / $1,604.45	Professional		$410.16	$610.32	$1,604.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.42 / $757.94 / $1,148.55	Professional		$478.42	$757.94	$1,148.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.60 / $845.95 / $1,312.95	Professional		$511.60	$845.95	$1,312.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $445.47 / $883.72 / $1,467.42	Professional		$445.47	$883.72	$1,467.42
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 $543.37 / $1,176.94 / $2,549.00	Professional		$543.37	$1,176.94	$2,549.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $311.56 / $342.72 / $436.18	Professional		$311.56	$342.72	$436.18