Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,687.46 / $9,859.00	Facility		$100.00	$1,687.46	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.41 / $726.59 / $1,687.46	Professional		$423.41	$726.59	$1,687.46
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 $481.56 / $792.92 / $1,230.07	Professional		$481.56	$792.92	$1,230.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.22 / $859.17 / $1,372.40	Professional		$534.22	$859.17	$1,372.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $465.10 / $922.67 / $1,532.09	Professional		$465.10	$922.67	$1,532.09
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 $570.10 / $730.84 / $1,429.75	Professional		$570.10	$730.84	$1,429.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $328.02 / $393.62 / $619.22	Professional		$328.02	$393.62	$619.22