Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,532.03 / $9,859.00	Facility		$100.00	$1,532.03	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.65 / $829.95 / $1,216.00	Professional		$239.65	$829.95	$1,216.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,041.00	Facility		$8,992.79	$9,992.00	$19,041.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.85 / $639.51 / $1,430.20	Professional		$340.85	$639.51	$1,430.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.26 / $1,168.34 / $2,808.21	Professional		$515.26	$1,168.34	$2,808.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $407.15 / $1,084.33 / $2,937.33	Professional		$407.15	$1,084.33	$2,937.33
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.34 / $2,163.71 / $3,450.27	Professional		$1,378.34	$2,163.71	$3,450.27
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $349.37 / $968.98	Professional		$249.55	$349.37	$968.98