Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,685.99 / $9,859.00	Facility		$100.00	$3,685.99	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.36 / $930.67 / $3,685.99	Professional		$795.36	$930.67	$3,685.99
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 $1,292.49 / $2,221.69 / $3,233.95	Professional		$1,292.49	$2,221.69	$3,233.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.73 / $2,637.02 / $3,752.98	Professional		$1,516.73	$2,637.02	$3,752.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,363.44 / $2,704.79 / $4,491.31	Professional		$1,363.44	$2,704.79	$4,491.31
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,450.07 / $2,550.92 / $6,820.83	Professional		$1,450.07	$2,550.92	$6,820.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $903.17 / $1,121.30 / $1,818.28	Professional		$903.17	$1,121.30	$1,818.28