Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,048.33 / $15,326.76	Facility		$100.00	$2,048.33	$15,326.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.50 / $452.05 / $1,574.38	Professional		$330.50	$452.05	$1,574.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.16 / $667.89 / $936.44	Professional		$398.16	$667.89	$936.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.30 / $990.50 / $1,573.58	Professional		$552.30	$990.50	$1,573.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $499.13 / $963.27 / $1,803.53	Professional		$499.13	$963.27	$1,803.53
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.41 / $1,039.15 / $2,078.98	Professional		$475.41	$1,039.15	$2,078.98
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $373.16 / $501.26 / $774.40	Professional		$373.16	$501.26	$774.40