Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,435.85 / $8,965.00	Facility		$100.00	$1,435.85	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.22 / $622.04 / $1,435.85	Professional		$365.22	$622.04	$1,435.85
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 $415.11 / $690.53 / $1,072.38	Professional		$415.11	$690.53	$1,072.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $748.38 / $1,195.43	Professional		$466.01	$748.38	$1,195.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $405.48 / $804.39 / $1,335.69	Professional		$405.48	$804.39	$1,335.69
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 $471.12 / $605.41 / $1,233.60	Professional		$471.12	$605.41	$1,233.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $282.35 / $310.58 / $395.29	Professional		$282.35	$310.58	$395.29