Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,432.74 / $6,067.00	Facility		$100.00	$1,432.74	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.79 / $618.99 / $1,432.74	Professional		$363.79	$618.99	$1,432.74
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 $413.51 / $687.36 / $1,068.47	Professional		$413.51	$687.36	$1,068.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.31 / $744.31 / $1,188.94	Professional		$464.31	$744.31	$1,188.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $404.00 / $801.46 / $1,330.82	Professional		$404.00	$801.46	$1,330.82
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 $430.12 / $563.64 / $1,228.84	Professional		$430.12	$563.64	$1,228.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $281.26 / $309.39 / $393.76	Professional		$281.26	$309.39	$393.76