Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,593.40 / $6,067.00	Facility		$100.00	$3,593.40	$6,067.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.88 / $911.69 / $3,593.40	Professional		$787.88	$911.69	$3,593.40
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 $1,173.17 / $1,829.89 / $2,700.19	Professional		$1,173.17	$1,829.89	$2,700.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.91 / $2,152.30 / $3,079.82	Professional		$1,320.91	$2,152.30	$3,079.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,133.85 / $2,249.35 / $3,735.05	Professional		$1,133.85	$2,249.35	$3,735.05
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 $1,133.85 / $1,721.19 / $3,332.20	Professional		$1,133.85	$1,721.19	$3,332.20
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $776.47 / $854.12 / $1,087.06	Professional		$776.47	$854.12	$1,087.06