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 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.47 / $771.49 / $1,432.70	Professional		$240.47	$771.49	$1,432.70
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 $472.99 / $928.50 / $2,257.71	Professional		$472.99	$928.50	$2,257.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.69 / $1,600.31 / $3,849.82	Professional		$792.69	$1,600.31	$3,849.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $613.36 / $1,408.89 / $4,042.54	Professional		$613.36	$1,408.89	$4,042.54
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,586.37 / $2,325.42 / $5,037.18	Professional		$1,586.37	$2,325.42	$5,037.18
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $299.72 / $419.61 / $1,276.13	Professional		$299.72	$419.61	$1,276.13