Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,974.65 / $6,067.00	Facility		$100.00	$1,974.65	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.89 / $605.58 / $1,449.58	Professional		$568.89	$605.58	$1,449.58
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 $579.97 / $912.30 / $1,573.43	Professional		$579.97	$912.30	$1,573.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $869.95 / $1,368.45 / $2,082.71	Professional	50	$869.95	$1,368.45	$2,082.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.99 / $1,054.24 / $1,396.33	Professional		$736.99	$1,054.24	$1,396.33
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $730.34 / $1,192.68 / $2,362.27	Professional		$730.34	$1,192.68	$2,362.27
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 $679.03 / $911.67 / $1,765.29	Professional		$679.03	$911.67	$1,765.29
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $472.72 / $519.99 / $661.81	Professional		$472.72	$519.99	$661.81