Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,108.61 / $6,067.00	Facility		$100.00	$2,108.61	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.47 / $621.44 / $1,541.75	Professional		$448.47	$621.44	$1,541.75
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 $459.32 / $704.89 / $1,022.09	Professional		$459.32	$704.89	$1,022.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.35 / $992.61 / $1,515.09	Professional		$629.35	$992.61	$1,515.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $632.67 / $1,084.43 / $2,149.85	Professional		$632.67	$1,084.43	$2,149.85
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 $806.88 / $978.97 / $1,901.07	Professional		$806.88	$978.97	$1,901.07
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $395.98 / $535.32 / $767.06	Professional		$395.98	$535.32	$767.06