Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,686.28 / $9,859.00	Facility		$100.00	$1,686.28	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $383.36 / $591.95	Professional		$308.68	$383.36	$591.95
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 $555.42 / $847.45 / $1,233.58	Professional		$555.42	$847.45	$1,233.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.19 / $1,103.30 / $1,632.29	Professional		$635.19	$1,103.30	$1,632.29
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $599.52 / $1,189.33 / $1,974.88	Professional		$599.52	$1,189.33	$1,974.88
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 $639.44 / $898.98 / $1,518.92	Professional		$639.44	$898.98	$1,518.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $402.05 / $482.46 / $761.48	Professional		$402.05	$482.46	$761.48