Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,749.77 / $9,859.00	Facility		$100.00	$1,749.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $142.19 / $1,481.96	Professional		$69.16	$142.19	$1,481.96
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 $42.05 / $77.43 / $1,246.40	Professional		$42.05	$77.43	$1,246.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.07 / $116.15 / $299.85	Professional	50	$63.07	$116.15	$299.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $1,215.45 / $3,152.55	Professional		$61.06	$1,215.45	$3,152.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $1,393.81 / $3,912.56	Professional		$57.92	$1,393.81	$3,912.56
United Facility/Professional Facility Modifier Low / Median / High Price $8,611.00 / $8,611.00 / $8,611.00	Facility		$8,611.00	$8,611.00	$8,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,943.59 / $2,193.25 / $4,209.79	Professional		$1,943.59	$2,193.25	$4,209.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $1,098.77 / $1,648.16	Professional		$46.46	$1,098.77	$1,648.16