Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,524.15 / $6,067.00	Facility		$100.00	$1,524.15	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.91 / $447.18 / $1,113.17	Professional		$395.91	$447.18	$1,113.17
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 $396.57 / $608.59 / $882.45	Professional		$396.57	$608.59	$882.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $739.64 / $1,095.85	Professional		$524.04	$739.64	$1,095.85
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $516.20 / $864.94 / $1,593.25	Professional		$516.20	$864.94	$1,593.25
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 $572.76 / $629.62 / $1,359.81	Professional		$572.76	$629.62	$1,359.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $320.94 / $374.86 / $449.32	Professional		$320.94	$374.86	$449.32