Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,855.90 / $9,859.00	Facility		$100.00	$1,855.90	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.01 / $873.68 / $1,855.90	Professional		$552.01	$873.68	$1,855.90
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 $640.48 / $1,067.60 / $1,657.05	Professional		$640.48	$1,067.60	$1,657.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.03 / $1,159.05 / $1,851.43	Professional		$715.03	$1,159.05	$1,851.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $626.54 / $1,242.95 / $2,063.92	Professional		$626.54	$1,242.95	$2,063.92
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.42 / $777.39 / $1,914.32	Professional		$673.42	$777.39	$1,914.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $436.08 / $479.69 / $610.51	Professional		$436.08	$479.69	$610.51