Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,731.81 / $9,859.00	Facility		$100.00	$3,731.81	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.17 / $908.14 / $3,731.81	Professional		$759.17	$908.14	$3,731.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $17,300.00 / $28,708.24	Facility		$8,512.20	$17,300.00	$28,708.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.20 / $1,790.89 / $2,642.87	Professional		$1,203.20	$1,790.89	$2,642.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.48 / $2,169.59 / $2,960.99	Professional		$1,303.48	$2,169.59	$2,960.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,109.79 / $2,201.60 / $3,655.76	Professional		$1,109.79	$2,201.60	$3,655.76
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.32 / $1,997.96 / $3,410.86	Professional		$1,374.32	$1,997.96	$3,410.86
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $781.81 / $859.99 / $1,094.53	Professional		$781.81	$859.99	$1,094.53