Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,558.80 / $9,859.00	Facility		$100.00	$3,558.80	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.30 / $902.15 / $3,558.80	Professional		$771.30	$902.15	$3,558.80
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 $1,384.69 / $2,183.38 / $3,216.93	Professional		$1,384.69	$2,183.38	$3,216.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.63 / $2,558.02 / $3,667.17	Professional		$1,562.63	$2,558.02	$3,667.17
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,350.85 / $2,679.82 / $4,449.84	Professional		$1,350.85	$2,679.82	$4,449.84
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 $1,133.08 / $2,074.98 / $4,017.17	Professional		$1,133.08	$2,074.98	$4,017.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $933.98 / $1,027.38 / $1,307.57	Professional		$933.98	$1,027.38	$1,307.57