Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,091.22 / $9,859.00	Facility		$100.00	$1,091.22	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $325.64 / $1,091.22	Professional		$303.70	$325.64	$1,091.22
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 $336.65 / $470.35 / $690.85	Professional		$336.65	$470.35	$690.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.30 / $745.28 / $1,105.28	Professional		$455.30	$745.28	$1,105.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $395.92 / $727.31 / $1,259.53	Professional		$395.92	$727.31	$1,259.53
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 $462.40 / $644.65 / $1,847.79	Professional		$462.40	$644.65	$1,847.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $284.88 / $341.46	Professional		$243.90	$284.88	$341.46