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 / $11,351.00	Facility		$100.00	$2,678.80	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.39 / $952.82 / $11,253.97	Professional		$393.39	$952.82	$11,253.97
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 $671.09 / $1,318.38 / $15,977.19	Professional		$671.09	$1,318.38	$15,977.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.16 / $2,271.91 / $25,917.16	Professional		$1,133.16	$2,271.91	$25,917.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $870.91 / $8,976.44 / $27,705.78	Professional		$870.91	$8,976.44	$27,705.78
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 $12,920.58 / $17,228.31 / $37,067.43	Professional		$12,920.58	$17,228.31	$37,067.43
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $482.81 / $706.61 / $9,222.31	Professional		$482.81	$706.61	$9,222.31