Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.96 / $732.32 / $1,880.61	Professional		$612.96	$732.32	$1,880.61
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 $628.16 / $964.01 / $1,397.81	Professional		$628.16	$964.01	$1,397.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $942.25 / $1,446.01 / $2,096.71	Professional	50	$942.25	$1,446.01	$2,096.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.39 / $1,210.66 / $1,825.14	Professional		$827.39	$1,210.66	$1,825.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $853.91 / $1,373.45 / $2,617.48	Professional		$853.91	$1,373.45	$2,617.48
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 $867.46 / $1,098.16 / $2,276.19	Professional		$867.46	$1,098.16	$2,276.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $512.96 / $611.21 / $733.45	Professional		$512.96	$611.21	$733.45