Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,143.94 / $9,859.00	Facility		$100.00	$1,143.94	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $355.38 / $1,143.94	Professional		$318.45	$355.38	$1,143.94
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 $355.57 / $570.04 / $838.87	Professional		$355.57	$570.04	$838.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.08 / $717.87 / $1,033.76	Professional		$451.08	$717.87	$1,033.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $379.56 / $752.97 / $1,250.31	Professional		$379.56	$752.97	$1,250.31
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 $441.03 / $579.04 / $999.51	Professional		$441.03	$579.04	$999.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $259.60 / $285.56 / $363.44	Professional		$259.60	$285.56	$363.44