Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,001.61 / $9,859.00	Facility		$100.00	$3,001.61	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.49 / $722.64 / $3,001.61	Professional		$602.49	$722.64	$3,001.61
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 $955.81 / $1,423.58 / $2,099.65	Professional		$955.81	$1,423.58	$2,099.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,035.99 / $1,725.80 / $2,354.48	Professional		$1,035.99	$1,725.80	$2,354.48
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $881.68 / $1,749.08 / $2,904.34	Professional		$881.68	$1,749.08	$2,904.34
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 $1,091.32 / $1,343.17 / $2,708.51	Professional		$1,091.32	$1,343.17	$2,708.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $621.04 / $683.16 / $869.47	Professional		$621.04	$683.16	$869.47