Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,631.44 / $9,859.00	Facility		$100.00	$1,631.44	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.08 / $475.57 / $1,303.67	Professional		$407.08	$475.57	$1,303.67
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 $415.98 / $638.37 / $925.63	Professional		$415.98	$638.37	$925.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $623.97 / $957.55 / $1,388.45	Professional	50	$623.97	$957.55	$1,388.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.17 / $848.36 / $1,279.01	Professional		$549.17	$848.36	$1,279.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $572.98 / $933.87 / $1,821.80	Professional		$572.98	$933.87	$1,821.80
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 $627.00 / $801.24 / $1,518.66	Professional		$627.00	$801.24	$1,518.66
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $345.53 / $451.83 / $636.63	Professional		$345.53	$451.83	$636.63