Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,021.25 / $8,965.00	Facility		$100.00	$1,021.25	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.74 / $303.08 / $1,021.25	Professional		$281.74	$303.08	$1,021.25
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 $312.99 / $483.62 / $713.65	Professional		$312.99	$483.62	$713.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.85 / $606.38 / $873.00	Professional		$367.85	$606.38	$873.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $322.89 / $640.57 / $1,063.66	Professional		$322.89	$640.57	$1,063.66
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 $372.19 / $438.36 / $869.68	Professional		$372.19	$438.36	$869.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $269.77 / $425.81	Professional		$224.82	$269.77	$425.81