Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,645.62 / $6,067.00	Facility		$100.00	$1,645.62	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.99 / $482.05 / $1,139.21	Professional		$321.99	$482.05	$1,139.21
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 $338.67 / $532.72 / $774.68	Professional		$338.67	$532.72	$774.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.63 / $770.09 / $1,249.31	Professional		$463.63	$770.09	$1,249.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $466.48 / $835.21 / $1,763.93	Professional		$466.48	$835.21	$1,763.93
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 $619.98 / $807.40 / $1,534.77	Professional		$619.98	$807.40	$1,534.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $276.91 / $387.67 / $495.77	Professional		$276.91	$387.67	$495.77