Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,408.74 / $9,859.00	Facility		$100.00	$4,408.74	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.42 / $1,312.52 / $1,312.52	Professional		$771.42	$1,312.52	$1,312.52
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 $1,225.90 / $2,227.40 / $3,557.05	Professional		$1,225.90	$2,227.40	$3,557.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,785.22 / $2,813.54 / $3,473.70	Professional		$1,785.22	$2,813.54	$3,473.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,302.86 / $2,487.36 / $4,290.07	Professional		$1,302.86	$2,487.36	$4,290.07
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 $1,613.39 / $2,348.83 / $4,489.02	Professional		$1,613.39	$2,348.83	$4,489.02
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $918.99 / $1,010.89 / $1,286.58	Professional		$918.99	$1,010.89	$1,286.58