Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,704.96 / $9,859.00	Facility		$100.00	$1,704.96	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.05 / $500.58 / $1,219.93	Professional		$468.05	$500.58	$1,219.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.52 / $763.72 / $1,317.18	Professional		$485.52	$763.72	$1,317.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.17 / $882.33 / $1,170.08	Professional		$616.17	$882.33	$1,170.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $611.40 / $998.45 / $1,977.55	Professional		$611.40	$998.45	$1,977.55
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.88 / $781.10 / $1,484.79	Professional		$629.88	$781.10	$1,484.79
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $396.02 / $435.62 / $554.42	Professional		$396.02	$435.62	$554.42