Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,736.29 / $9,859.00	Facility		$100.00	$2,736.29	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.71 / $616.25 / $1,435.72	Professional		$496.71	$616.25	$1,435.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.40 / $1,253.66 / $1,824.84	Professional		$817.40	$1,253.66	$1,824.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.04 / $1,608.97 / $2,382.67	Professional		$932.04	$1,608.97	$2,382.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $886.87 / $1,759.37 / $2,921.44	Professional		$886.87	$1,759.37	$2,921.44
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.83 / $1,330.08 / $2,340.76	Professional		$1,047.83	$1,330.08	$2,340.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $829.66 / $995.59 / $1,541.30	Professional		$829.66	$995.59	$1,541.30