Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,964.25 / $6,067.00	Facility		$100.00	$1,964.25	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.43 / $703.54 / $1,964.25	Professional		$502.43	$703.54	$1,964.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.57 / $928.35 / $1,403.48	Professional		$587.57	$928.35	$1,403.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.54 / $1,004.27 / $1,604.19	Professional		$624.54	$1,004.27	$1,604.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $544.34 / $1,079.85 / $1,793.11	Professional		$544.34	$1,079.85	$1,793.11
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.01 / $853.29 / $1,589.79	Professional		$585.01	$853.29	$1,589.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $381.30 / $419.43 / $533.82	Professional		$381.30	$419.43	$533.82