Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,792.82 / $9,859.00	Facility		$100.00	$1,792.82	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.41 / $520.51 / $1,323.78	Professional		$416.41	$520.51	$1,323.78
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 $422.45 / $648.29 / $940.03	Professional		$422.45	$648.29	$940.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.45 / $859.27 / $1,297.58	Professional		$578.45	$859.27	$1,297.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $581.88 / $947.26 / $1,847.92	Professional		$581.88	$947.26	$1,847.92
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 $682.55 / $827.66 / $1,607.25	Professional		$682.55	$827.66	$1,607.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $343.85 / $431.38 / $517.66	Professional		$343.85	$431.38	$517.66