Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $954.54 / $2,331.21	Facility		$100.00	$954.54	$2,331.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.16 / $455.45 / $954.54	Professional		$278.16	$455.45	$954.54
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 $284.64 / $447.75 / $661.21	Professional		$284.64	$447.75	$661.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $649.05 / $1,081.78	Professional		$389.59	$649.05	$1,081.78
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $392.07 / $720.18 / $1,521.00	Professional		$392.07	$720.18	$1,521.00
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 $586.55 / $713.82 / $1,352.98	Professional		$586.55	$713.82	$1,352.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $230.25 / $322.35 / $439.76	Professional		$230.25	$322.35	$439.76