Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,333.63 / $10,053.29	Facility		$100.00	$3,333.63	$10,053.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $585.48 / $1,666.82 / $1,666.82	Facility	52	$585.48	$1,666.82	$1,666.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.07 / $983.33 / $2,489.65	Professional		$855.07	$983.33	$2,489.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.98 / $1,381.72 / $2,087.08	Professional		$881.98	$1,381.72	$2,087.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.97 / $1,581.59 / $2,391.01	Professional		$926.97	$1,581.59	$2,391.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $809.48 / $1,605.85 / $2,666.51	Professional		$809.48	$1,605.85	$2,666.51
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.40 / $1,280.75 / $2,456.01	Professional		$992.40	$1,280.75	$2,456.01
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $628.13 / $777.19 / $1,081.53	Professional		$628.13	$777.19	$1,081.53