Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,927.75 / $12,299.40	Facility		$100.00	$1,927.75	$12,299.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.52 / $592.62 / $1,927.76	Professional		$243.52	$592.62	$1,927.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.60 / $815.15 / $2,724.16	Professional		$418.60	$815.15	$2,724.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.11 / $1,405.05 / $4,487.64	Professional		$699.11	$1,405.05	$4,487.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $538.48 / $1,584.88 / $4,891.72	Professional		$538.48	$1,584.88	$4,891.72
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 $2,217.62 / $3,483.56 / $8,920.11	Professional		$2,217.62	$3,483.56	$8,920.11
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $1,285.15 / $2,086.17	Professional		$299.08	$1,285.15	$2,086.17