Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,753.81 / $6,067.00	Facility		$100.00	$1,753.81	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.62 / $515.99 / $1,304.88	Professional		$387.62	$515.99	$1,304.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.60 / $607.10 / $880.29	Professional		$395.60	$607.10	$880.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $840.58 / $1,281.08	Professional		$522.08	$840.58	$1,281.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $918.38 / $1,820.67	Professional		$544.91	$918.38	$1,820.67
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.40 / $819.55 / $1,586.92	Professional		$625.40	$819.55	$1,586.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $321.47 / $427.84 / $513.41	Professional		$321.47	$427.84	$513.41