Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,932.77 / $6,067.00	Facility		$100.00	$1,932.77	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $571.05 / $1,702.25	Professional		$547.20	$571.05	$1,702.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.96 / $1,050.69 / $1,812.11	Professional		$667.96	$1,050.69	$1,812.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.33 / $1,121.88 / $1,668.68	Professional		$869.33	$1,121.88	$1,668.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $841.14 / $1,373.61 / $2,720.62	Professional		$841.14	$1,373.61	$2,720.62
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.89 / $968.64 / $1,881.03	Professional		$736.89	$968.64	$1,881.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $505.20 / $555.72 / $707.28	Professional		$505.20	$555.72	$707.28