Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,475.96 / $6,067.00	Facility		$100.00	$1,475.96	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.54 / $422.63 / $1,085.92	Professional		$363.54	$422.63	$1,085.92
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 $376.51 / $577.80 / $837.82	Professional		$376.51	$577.80	$837.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.47 / $705.42 / $1,058.33	Professional		$496.47	$705.42	$1,058.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $821.20 / $1,533.56	Professional		$498.05	$821.20	$1,533.56
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 $545.73 / $641.54 / $1,328.36	Professional		$545.73	$641.54	$1,328.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $307.05 / $358.63 / $429.87	Professional		$307.05	$358.63	$429.87