Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,189.10 / $9,859.00	Facility		$100.00	$2,189.10	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.26 / $563.35 / $2,189.10	Professional		$497.26	$563.35	$2,189.10
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 $760.97 / $1,212.21 / $1,764.53	Professional		$760.97	$1,212.21	$1,764.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.90 / $1,454.26 / $2,071.23	Professional		$877.90	$1,454.26	$2,071.23
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $743.93 / $1,475.81 / $2,450.58	Professional		$743.93	$1,475.81	$2,450.58
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 $855.32 / $1,125.21 / $2,178.41	Professional		$855.32	$1,125.21	$2,178.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $509.99 / $560.99 / $713.99	Professional		$509.99	$560.99	$713.99