Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,416.27 / $6,067.00	Facility		$100.00	$1,416.27	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.68 / $617.49 / $1,416.27	Professional		$364.68	$617.49	$1,416.27
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 $409.51 / $681.63 / $1,057.68	Professional		$409.51	$681.63	$1,057.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.64 / $737.17 / $1,177.53	Professional		$459.64	$737.17	$1,177.53
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $399.92 / $793.36 / $1,317.38	Professional		$399.92	$793.36	$1,317.38
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 $485.15 / $703.33 / $1,216.69	Professional		$485.15	$703.33	$1,216.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $278.41 / $334.09 / $527.30	Professional		$278.41	$334.09	$527.30