Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,083.51 / $11,188.07	Facility		$100.00	$2,083.51	$11,188.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.40 / $590.83 / $1,089.84	Professional		$350.40	$590.83	$1,089.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33,975.00 / $37,708.00 / $37,844.00	Facility		$33,975.00	$37,708.00	$37,844.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.53 / $969.67 / $1,547.41	Professional		$542.53	$969.67	$1,547.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.77 / $1,228.30 / $1,516.50	Professional		$778.77	$1,228.30	$1,516.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $583.55 / $1,131.35 / $2,015.76	Professional		$583.55	$1,131.35	$2,015.76
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.47 / $920.10 / $1,987.32	Professional		$707.47	$920.10	$1,987.32
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $413.32 / $495.98 / $774.80	Professional		$413.32	$495.98	$774.80