Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,951.76 / $6,067.00	Facility		$100.00	$1,951.76	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.24 / $700.05 / $1,951.76	Professional		$503.24	$700.05	$1,951.76
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 $587.99 / $928.98 / $1,404.42	Professional		$587.99	$928.98	$1,404.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.97 / $1,004.99 / $1,605.34	Professional		$624.97	$1,004.99	$1,605.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $544.71 / $1,080.59 / $1,794.33	Professional		$544.71	$1,080.59	$1,794.33
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 $631.87 / $906.91 / $1,590.94	Professional		$631.87	$906.91	$1,590.94
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $381.59 / $419.75 / $534.23	Professional		$381.59	$419.75	$534.23