Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $11,351.00	Facility		$100.00	$2,331.21	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $562.41 / $562.41	Professional		$330.23	$562.41	$562.41
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 $472.29 / $853.95 / $1,363.34	Professional		$472.29	$853.95	$1,363.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.89 / $1,081.49 / $1,335.25	Professional		$685.89	$1,081.49	$1,335.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $514.13 / $996.77 / $1,775.96	Professional		$514.13	$996.77	$1,775.96
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 $624.47 / $800.54 / $1,734.08	Professional		$624.47	$800.54	$1,734.08
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $391.25 / $497.95	Professional		$355.68	$391.25	$497.95