Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,194.90 / $9,859.00	Facility		$100.00	$2,194.90	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.89 / $646.49 / $1,303.00	Professional		$502.89	$646.49	$1,303.00
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 $784.32 / $1,413.50 / $2,250.34	Professional		$784.32	$1,413.50	$2,250.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.73 / $1,978.57 / $2,709.77	Professional		$1,354.73	$1,978.57	$2,709.77
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $848.64 / $1,645.29 / $2,931.42	Professional		$848.64	$1,645.29	$2,931.42
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 $831.58 / $1,331.65 / $2,931.42	Professional		$831.58	$1,331.65	$2,931.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $526.25 / $688.23 / $1,116.02	Professional		$526.25	$688.23	$1,116.02