Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,507.80 / $9,859.00	Facility		$100.00	$1,507.80	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.06 / $469.92 / $1,507.80	Professional		$419.06	$469.92	$1,507.80
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 $466.34 / $734.03 / $1,078.64	Professional		$466.34	$734.03	$1,078.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.29 / $924.74 / $1,327.78	Professional		$557.29	$924.74	$1,327.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $488.06 / $968.21 / $1,607.72	Professional		$488.06	$968.21	$1,607.72
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 $521.49 / $634.75 / $1,304.27	Professional		$521.49	$634.75	$1,304.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $337.95 / $371.75 / $473.13	Professional		$337.95	$371.75	$473.13