Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,678.80 / $12,309.30	Facility		$100.00	$2,678.80	$12,309.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $735.20 / $5,283.24	Professional		$296.30	$735.20	$5,283.24
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 $519.50 / $1,003.26 / $8,535.12	Professional		$519.50	$1,003.26	$8,535.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.30 / $1,731.18 / $13,960.28	Professional		$866.30	$1,731.18	$13,960.28
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $662.74 / $4,805.75 / $14,832.95	Professional		$662.74	$4,805.75	$14,832.95
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,832.58 / $9,284.43 / $18,973.34	Professional		$6,832.58	$9,284.43	$18,973.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $374.63 / $3,628.62 / $5,649.95	Professional		$374.63	$3,628.62	$5,649.95