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 $509.30 / $708.10 / $1,293.09	Professional		$509.30	$708.10	$1,293.09
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 $520.13 / $802.74 / $1,157.40	Professional		$520.13	$802.74	$1,157.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $780.19 / $1,204.10 / $1,736.10	Professional	50	$780.19	$1,204.10	$1,736.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.64 / $1,131.04 / $1,757.17	Professional		$686.64	$1,131.04	$1,757.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $716.43 / $1,234.95 / $2,493.77	Professional		$716.43	$1,234.95	$2,493.77
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 $843.86 / $1,083.67 / $2,173.27	Professional		$843.86	$1,083.67	$2,173.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $423.06 / $586.53 / $703.84	Professional		$423.06	$586.53	$703.84