Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,035.21 / $8,965.00	Facility		$100.00	$2,035.21	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $868.33 / $2,035.21	Professional		$504.00	$868.33	$2,035.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.03 / $954.43 / $1,477.85	Professional		$576.03	$954.43	$1,477.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.90 / $1,043.26 / $1,649.33	Professional		$640.90	$1,043.26	$1,649.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $558.78 / $1,108.51 / $1,840.68	Professional		$558.78	$1,108.51	$1,840.68
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 $685.30 / $843.44 / $1,718.64	Professional		$685.30	$843.44	$1,718.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $392.34 / $431.57 / $549.28	Professional		$392.34	$431.57	$549.28