Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,426.62 / $9,859.00	Facility		$100.00	$3,426.62	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.87 / $789.87 / $3,426.62	Professional		$674.87	$789.87	$3,426.62
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 $1,132.28 / $1,811.99 / $2,637.58	Professional		$1,132.28	$1,811.99	$2,637.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,293.51 / $2,144.33 / $3,057.08	Professional		$1,293.51	$2,144.33	$3,057.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,112.01 / $2,206.01 / $3,663.07	Professional		$1,112.01	$2,206.01	$3,663.07
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 $1,112.01 / $1,697.95 / $3,287.23	Professional		$1,112.01	$1,697.95	$3,287.23
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $765.70 / $842.27 / $1,071.98	Professional		$765.70	$842.27	$1,071.98