Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,975.70 / $9,859.00	Facility		$100.00	$3,975.70	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.23 / $988.17 / $3,975.70	Professional		$830.23	$988.17	$3,975.70
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 $1,285.39 / $1,933.72 / $2,836.85	Professional		$1,285.39	$1,933.72	$2,836.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,359.43 / $2,251.13 / $3,226.55	Professional		$1,359.43	$2,251.13	$3,226.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,191.26 / $2,363.21 / $3,924.13	Professional		$1,191.26	$2,363.21	$3,924.13
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.26 / $1,797.47 / $3,624.61	Professional		$1,191.26	$1,797.47	$3,624.61
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $836.51 / $1,003.81 / $1,475.60	Professional		$836.51	$1,003.81	$1,475.60