Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,805.98 / $9,859.00	Facility		$100.00	$1,805.98	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.30 / $541.27 / $1,381.95	Professional		$511.30	$541.27	$1,381.95
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 $552.15 / $868.53 / $1,497.94	Professional		$552.15	$868.53	$1,497.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.18 / $1,005.13 / $1,339.33	Professional		$705.18	$1,005.13	$1,339.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $695.31 / $1,135.48 / $2,248.94	Professional		$695.31	$1,135.48	$2,248.94
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 $636.70 / $822.51 / $1,649.53	Professional		$636.70	$822.51	$1,649.53
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $442.44 / $486.68 / $619.41	Professional		$442.44	$486.68	$619.41