Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,597.54 / $9,859.00	Facility		$100.00	$3,597.54	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.46 / $922.30 / $3,597.54	Professional		$805.46	$922.30	$3,597.54
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 $1,232.83 / $1,971.28 / $2,869.44	Professional		$1,232.83	$1,971.28	$2,869.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,406.63 / $2,327.31 / $3,322.14	Professional		$1,406.63	$2,327.31	$3,322.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,209.77 / $2,399.94 / $3,985.10	Professional		$1,209.77	$2,399.94	$3,985.10
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 $1,365.16 / $1,990.07 / $3,576.83	Professional		$1,365.16	$1,990.07	$3,576.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $833.03 / $999.64 / $1,577.76	Professional		$833.03	$999.64	$1,577.76