Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,217.21 / $6,067.00	Facility		$100.00	$3,217.21	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.85 / $1,146.74 / $3,217.21	Professional		$815.85	$1,146.74	$3,217.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,905.40 / $11,006.00 / $17,487.00	Facility		$9,905.40	$11,006.00	$17,487.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.93 / $1,506.34 / $2,278.03	Professional		$958.93	$1,506.34	$2,278.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.12 / $1,632.12 / $2,607.09	Professional		$1,012.12	$1,632.12	$2,607.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $883.54 / $1,752.77 / $2,910.47	Professional		$883.54	$1,752.77	$2,910.47
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 $818.36 / $1,265.65 / $2,598.85	Professional		$818.36	$1,265.65	$2,598.85
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $622.11 / $684.32 / $870.95	Professional		$622.11	$684.32	$870.95