Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $14,929.00	Facility		$100.00	$2,331.21	$14,929.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $298.23 / $767.48	Professional		$212.59	$298.23	$767.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.90 / $1,611.00 / $2,875.00	Facility		$1,449.90	$1,611.00	$2,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.84 / $370.94 / $544.28	Professional		$190.84	$370.94	$544.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $286.26 / $556.41 / $788.66	Professional	50	$286.26	$556.41	$788.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $619.51 / $1,246.85	Professional		$309.83	$619.51	$1,246.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $296.52 / $674.34 / $1,595.54	Professional		$296.52	$674.34	$1,595.54
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 $669.81 / $868.74 / $1,476.63	Professional		$669.81	$868.74	$1,476.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $400.06 / $626.29	Professional		$167.48	$400.06	$626.29