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 $123.71 / $308.26 / $2,456.73	Professional		$123.71	$308.26	$2,456.73
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 $218.44 / $424.46 / $3,132.88	Professional		$218.44	$424.46	$3,132.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $327.66 / $636.69 / $4,699.32	Professional	50	$327.66	$636.69	$4,699.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.57 / $730.24 / $5,705.59	Professional		$360.57	$730.24	$5,705.59
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $1,752.63 / $5,409.49	Professional		$280.39	$1,752.63	$5,409.49
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 $2,632.64 / $4,073.61 / $10,734.10	Professional		$2,632.64	$4,073.61	$10,734.10
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $153.01 / $1,554.37 / $2,519.12	Professional		$153.01	$1,554.37	$2,519.12