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 $612.52 / $977.11 / $977.11	Professional		$612.52	$977.11	$977.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.64 / $1,747.33 / $2,790.41	Professional		$963.64	$1,747.33	$2,790.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.41 / $2,205.46 / $2,722.94	Professional		$1,399.41	$2,205.46	$2,722.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,022.07 / $1,951.27 / $3,365.45	Professional		$1,022.07	$1,951.27	$3,365.45
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 $1,273.59 / $1,778.82 / $3,536.64	Professional		$1,273.59	$1,778.82	$3,536.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $723.53 / $795.88 / $1,012.94	Professional		$723.53	$795.88	$1,012.94