Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,571.35 / $6,067.00	Facility		$100.00	$1,571.35	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.80 / $470.62 / $1,571.35	Professional		$440.80	$470.62	$1,571.35
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 $489.99 / $768.38 / $1,130.21	Professional		$489.99	$768.38	$1,130.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.11 / $964.76 / $1,390.29	Professional		$584.11	$964.76	$1,390.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $511.38 / $1,014.48 / $1,684.54	Professional		$511.38	$1,014.48	$1,684.54
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 $562.61 / $855.62 / $1,819.44	Professional		$562.61	$855.62	$1,819.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $353.72 / $424.46 / $669.95	Professional		$353.72	$424.46	$669.95