Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,491.80 / $6,067.00	Facility		$100.00	$1,491.80	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.58 / $368.72 / $531.40	Professional		$243.58	$368.72	$531.40
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 $214.13 / $363.12 / $512.65	Professional		$214.13	$363.12	$512.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $321.19 / $544.40 / $768.97	Professional	50	$321.19	$544.40	$768.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.64 / $494.18 / $895.26	Professional		$293.64	$494.18	$895.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $294.95 / $579.71 / $1,246.32	Professional		$294.95	$579.71	$1,246.32
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 $533.79 / $656.98 / $1,156.19	Professional		$533.79	$656.98	$1,156.19
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $191.52 / $313.97 / $529.44	Professional		$191.52	$313.97	$529.44