Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,697.19 / $8,965.00	Facility		$100.00	$1,697.19	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.04 / $735.33 / $1,697.19	Professional		$431.04	$735.33	$1,697.19
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 $449.29 / $722.32 / $1,038.86	Professional		$449.29	$722.32	$1,038.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.98 / $951.43 / $1,519.79	Professional		$560.98	$951.43	$1,519.79
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $514.35 / $979.94 / $1,694.32	Professional		$514.35	$979.94	$1,694.32
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 $623.60 / $841.56 / $1,563.91	Professional		$623.60	$841.56	$1,563.91
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $426.82 / $632.36	Professional		$355.68	$426.82	$632.36