Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,947.74 / $9,859.00	Facility		$100.00	$1,947.74	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.61 / $623.33 / $1,510.02	Professional		$573.61	$623.33	$1,510.02
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 $602.94 / $948.42 / $1,635.72	Professional		$602.94	$948.42	$1,635.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.10 / $1,096.45 / $1,455.04	Professional		$766.10	$1,096.45	$1,455.04
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $759.26 / $1,239.91 / $2,455.80	Professional		$759.26	$1,239.91	$2,455.80
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.16 / $1,013.72 / $1,836.24	Professional		$637.16	$1,013.72	$1,836.24
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $491.60 / $540.76 / $688.24	Professional		$491.60	$540.76	$688.24