Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,669.74 / $5,229.63	Facility		$100.00	$2,669.74	$5,229.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.09 / $777.57 / $1,005.77	Professional		$744.09	$777.57	$1,005.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $16,774.39 / $28,708.24	Facility		$8,512.20	$16,774.39	$28,708.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.47 / $1,364.13 / $2,182.36	Professional		$760.47	$1,364.13	$2,182.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.73 / $1,437.30 / $2,336.25	Professional		$793.73	$1,437.30	$2,336.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $870.58 / $1,505.93 / $2,687.05	Professional		$870.58	$1,505.93	$2,687.05
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.19 / $1,212.83 / $2,547.75	Professional		$825.19	$1,212.83	$2,547.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $610.97 / $672.07 / $855.36	Professional		$610.97	$672.07	$855.36