Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $11,351.00	Facility		$100.00	$2,331.21	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $517.50	Professional		$517.50	$517.50	$517.50
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 $1,062.10 / $1,062.10 / $1,062.10	Professional		$1,062.10	$1,062.10	$1,062.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $391.50	Professional		$225.00	$225.00	$391.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $698.76 / $1,386.20 / $2,301.79	Professional		$698.76	$1,386.20	$2,301.79
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 $698.76 / $1,652.43 / $2,486.12	Professional		$698.76	$1,652.43	$2,486.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00