Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,324.90 / $6,067.00	Facility		$100.00	$1,324.90	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.41 / $394.56 / $1,324.90	Professional		$367.41	$394.56	$1,324.90
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 $407.21 / $622.12 / $916.60	Professional		$407.21	$622.12	$916.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.81 / $779.33 / $1,123.55	Professional		$472.81	$779.33	$1,123.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $414.74 / $822.76 / $1,366.20	Professional		$414.74	$822.76	$1,366.20
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 $502.84 / $604.48 / $1,121.88	Professional		$502.84	$604.48	$1,121.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $398.31 / $477.97 / $727.49	Professional		$398.31	$477.97	$727.49