Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,316.40 / $9,859.00	Facility		$100.00	$2,316.40	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.36 / $644.85 / $1,730.25	Professional		$406.36	$644.85	$1,730.25
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 $539.60 / $792.31 / $1,250.08	Professional		$539.60	$792.31	$1,250.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.02 / $1,217.35 / $1,991.43	Professional		$667.02	$1,217.35	$1,991.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $602.50 / $1,171.27 / $2,228.73	Professional		$602.50	$1,171.27	$2,228.73
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 $823.62 / $1,304.26 / $2,417.84	Professional		$823.62	$1,304.26	$2,417.84
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $360.77 / $491.78 / $590.14	Professional		$360.77	$491.78	$590.14