Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.95 / $1,467.54 / $1,467.54	Professional		$856.95	$1,467.54	$1,467.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $16,990.29 / $28,054.57	Facility		$8,512.20	$16,990.29	$28,054.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,404.16 / $2,439.78 / $3,859.45	Professional		$1,404.16	$2,439.78	$3,859.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,941.07 / $3,086.47 / $3,810.68	Professional		$1,941.07	$3,086.47	$3,810.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,413.63 / $2,698.80 / $4,654.76	Professional		$1,413.63	$2,698.80	$4,654.76
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 $1,763.06 / $2,387.84 / $5,172.39	Professional		$1,763.06	$2,387.84	$5,172.39
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,055.94 / $1,161.53 / $1,478.32	Professional		$1,055.94	$1,161.53	$1,478.32