Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,111.43 / $6,067.00	Facility		$100.00	$1,111.43	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $480.44 / $1,111.43	Professional		$283.80	$480.44	$1,111.43
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 $321.83 / $534.35 / $770.15	Professional		$321.83	$534.35	$770.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.61 / $750.21 / $1,176.72	Professional		$370.61	$750.21	$1,176.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $691.43 / $1,309.79	Professional		$355.68	$691.43	$1,309.79
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 $559.51 / $787.49 / $1,419.45	Professional		$559.51	$787.49	$1,419.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $218.35 / $305.69 / $393.84	Professional		$218.35	$305.69	$393.84