Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,092.34 / $9,859.00	Facility		$100.00	$2,092.34	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.25 / $615.80 / $2,092.34	Professional		$575.25	$615.80	$2,092.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.21 / $984.43 / $1,450.22	Professional		$638.21	$984.43	$1,450.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.11 / $1,235.96 / $1,778.09	Professional		$748.11	$1,235.96	$1,778.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $656.17 / $1,301.71 / $2,161.48	Professional		$656.17	$1,301.71	$2,161.48
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.64 / $860.86 / $2,334.59	Professional		$747.64	$860.86	$2,334.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $457.65 / $549.17 / $866.79	Professional		$457.65	$549.17	$866.79