Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,547.71 / $6,067.00	Facility		$100.00	$1,547.71	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.59 / $653.82 / $1,547.71	Professional		$377.59	$653.82	$1,547.71
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 $431.52 / $715.98 / $1,112.53	Professional		$431.52	$715.98	$1,112.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.90 / $821.70 / $1,242.23	Professional		$482.90	$821.70	$1,242.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $420.66 / $834.51 / $1,385.70	Professional		$420.66	$834.51	$1,385.70
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.34 / $662.86 / $1,282.39	Professional		$511.34	$662.86	$1,282.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $293.13 / $322.44 / $410.38	Professional		$293.13	$322.44	$410.38