Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,171.94 / $9,859.00	Facility		$100.00	$3,171.94	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.87 / $922.63 / $922.63	Professional		$539.87	$922.63	$922.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.68 / $1,530.50 / $2,442.50	Professional		$856.68	$1,530.50	$2,442.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.13 / $1,924.18 / $2,375.67	Professional		$1,220.13	$1,924.18	$2,375.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $894.63 / $1,707.97 / $2,945.81	Professional		$894.63	$1,707.97	$2,945.81
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 $1,123.03 / $1,460.81 / $2,878.78	Professional		$1,123.03	$1,460.81	$2,878.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $644.35 / $708.79 / $902.09	Professional		$644.35	$708.79	$902.09