Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,849.28 / $8,965.00	Facility		$100.00	$1,849.28	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.27 / $662.16 / $1,849.28	Professional		$473.27	$662.16	$1,849.28
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 $553.70 / $874.94 / $1,320.42	Professional		$553.70	$874.94	$1,320.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.78 / $946.47 / $1,511.86	Professional		$587.78	$946.47	$1,511.86
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $512.12 / $1,015.94 / $1,686.97	Professional		$512.12	$1,015.94	$1,686.97
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 $508.38 / $748.34 / $1,499.09	Professional		$508.38	$748.34	$1,499.09
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $359.59 / $431.51 / $681.06	Professional		$359.59	$431.51	$681.06