Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,753.81 / $6,067.00	Facility		$100.00	$1,753.81	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.48 / $443.05 / $1,753.81	Professional		$382.48	$443.05	$1,753.81
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 $581.58 / $938.66 / $1,366.65	Professional		$581.58	$938.66	$1,366.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.11 / $1,108.51 / $1,582.95	Professional		$675.11	$1,108.51	$1,582.95
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $576.19 / $1,143.05 / $1,898.03	Professional		$576.19	$1,143.05	$1,898.03
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 $576.19 / $872.57 / $2,050.03	Professional		$576.19	$872.57	$2,050.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $394.51 / $433.96 / $552.30	Professional		$394.51	$433.96	$552.30