Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,929.61 / $6,067.00	Facility		$100.00	$1,929.61	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.07 / $557.09 / $1,410.31	Professional		$440.07	$557.09	$1,410.31
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 $445.09 / $683.05 / $990.42	Professional		$445.09	$683.05	$990.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $667.63 / $1,024.57 / $1,485.63	Professional	50	$667.63	$1,024.57	$1,485.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.75 / $907.93 / $1,379.75	Professional		$586.75	$907.93	$1,379.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $613.07 / $1,009.51 / $1,969.36	Professional		$613.07	$1,009.51	$1,969.36
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 $746.85 / $882.22 / $1,706.24	Professional		$746.85	$882.22	$1,706.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $362.68 / $459.19 / $551.03	Professional		$362.68	$459.19	$551.03