Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,712.13 / $8,965.00	Facility		$100.00	$1,712.13	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.58 / $733.16 / $1,712.13	Professional		$427.58	$733.16	$1,712.13
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 $487.97 / $807.53 / $1,251.60	Professional		$487.97	$807.53	$1,251.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.42 / $874.94 / $1,397.60	Professional		$543.42	$874.94	$1,397.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $473.24 / $938.81 / $1,558.90	Professional		$473.24	$938.81	$1,558.90
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 $578.02 / $740.99 / $1,449.60	Professional		$578.02	$740.99	$1,449.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $331.38 / $364.52 / $463.93	Professional		$331.38	$364.52	$463.93