Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,675.07 / $9,859.00	Facility		$100.00	$3,675.07	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.47 / $1,012.42 / $1,074.80	Professional		$633.47	$1,012.42	$1,074.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.52 / $1,822.36 / $2,911.78	Professional		$1,003.52	$1,822.36	$2,911.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.83 / $2,301.12 / $2,841.05	Professional		$1,460.83	$2,301.12	$2,841.05
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,066.52 / $2,036.13 / $3,511.81	Professional		$1,066.52	$2,036.13	$3,511.81
United Facility/Professional Facility Modifier Low / Median / High Price $12,629.00 / $12,629.00 / $12,629.00	Facility		$12,629.00	$12,629.00	$12,629.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.58 / $1,856.36 / $3,679.70	Professional		$1,318.58	$1,856.36	$3,679.70
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $753.13 / $828.44 / $1,054.38	Professional		$753.13	$828.44	$1,054.38