Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,407.60 / $9,859.00	Facility		$100.00	$1,407.60	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.17 / $239.17 / $1,407.60	Professional		$239.17	$239.17	$1,407.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $13,932.60 / $24,290.01	Facility		$5,299.00	$13,932.60	$24,290.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.89 / $661.63 / $963.09	Professional		$431.89	$661.63	$963.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.52 / $852.10 / $1,263.06	Professional		$493.52	$852.10	$1,263.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $468.06 / $928.54 / $1,541.84	Professional		$468.06	$928.54	$1,541.84
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 $536.45 / $726.94 / $1,617.26	Professional		$536.45	$726.94	$1,617.26
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $320.51 / $378.19 / $571.16	Professional		$320.51	$378.19	$571.16