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 / $6,067.00	Facility		$100.00	$2,331.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.67 / $731.35 / $1,141.54	Professional		$218.67	$731.35	$1,141.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.39 / $5,186.00 / $8,238.00	Facility		$4,667.39	$5,186.00	$8,238.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.76 / $778.16 / $2,106.77	Professional		$395.76	$778.16	$2,106.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.76 / $1,341.09 / $3,614.39	Professional		$661.76	$1,341.09	$3,614.39
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $514.04 / $1,226.18 / $3,783.09	Professional		$514.04	$1,226.18	$3,783.09
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 $1,323.63 / $2,364.19 / $4,221.49	Professional		$1,323.63	$2,364.19	$4,221.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $250.72 / $351.01 / $1,069.85	Professional		$250.72	$351.01	$1,069.85