Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,185.87 / $9,859.00	Facility		$100.00	$2,185.87	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.41 / $671.24 / $718.34	Professional		$428.41	$671.24	$718.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,602.40 / $17,336.00 / $27,338.00	Facility		$15,602.40	$17,336.00	$27,338.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.84 / $1,258.35 / $2,012.66	Professional		$691.84	$1,258.35	$2,012.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.76 / $1,596.61 / $1,971.24	Professional		$1,014.76	$1,596.61	$1,971.24
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $759.01 / $1,471.52 / $2,621.82	Professional		$759.01	$1,471.52	$2,621.82
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.35 / $1,152.95 / $2,490.25	Professional		$651.35	$1,152.95	$2,490.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $513.50 / $564.85 / $718.90	Professional		$513.50	$564.85	$718.90