Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,348.05 / $8,965.00	Facility		$100.00	$3,348.05	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $992.82 / $1,276.54	Professional		$502.72	$992.82	$1,276.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,359.00 / $3,300.00	Facility		$1,223.09	$1,359.00	$3,300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.73 / $734.67 / $1,065.27	Professional		$478.73	$734.67	$1,065.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.24 / $924.96 / $1,498.00	Professional		$651.24	$924.96	$1,498.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $606.21 / $984.48 / $1,795.54	Professional		$606.21	$984.48	$1,795.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.87 / $1,088.08 / $1,563.36	Professional		$723.87	$1,088.08	$1,563.36
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $391.47 / $457.24 / $548.05	Professional		$391.47	$457.24	$548.05