Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,064.19 / $8,965.00	Facility		$100.00	$1,064.19	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $270.20 / $1,064.19	Professional		$204.29	$270.20	$1,064.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.85 / $436.49 / $612.00	Professional		$299.85	$436.49	$612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.48 / $658.08 / $1,152.85	Professional		$386.48	$658.08	$1,152.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $391.12 / $723.96 / $1,308.76	Professional		$391.12	$723.96	$1,308.76
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.27 / $634.11 / $1,308.76	Professional		$529.27	$634.11	$1,308.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $241.20 / $304.39 / $365.27	Professional		$241.20	$304.39	$365.27