Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,741.76 / $9,859.00	Facility		$100.00	$1,741.76	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $384.33 / $1,741.76	Professional		$312.89	$384.33	$1,741.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $8,973.87 / $15,644.99	Facility		$1,497.60	$8,973.87	$15,644.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.82 / $754.29 / $1,097.97	Professional		$509.82	$754.29	$1,097.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.44 / $962.01 / $1,423.64	Professional		$557.44	$962.01	$1,423.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $533.60 / $1,058.56 / $1,757.73	Professional		$533.60	$1,058.56	$1,757.73
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 $656.41 / $685.21 / $1,442.78	Professional		$656.41	$685.21	$1,442.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $377.13 / $452.56 / $665.26	Professional		$377.13	$452.56	$665.26