Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,155.33 / $9,859.00	Facility		$100.00	$5,155.33	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.79 / $1,493.19 / $1,493.19	Professional		$871.79	$1,493.19	$1,493.19
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 $1,385.10 / $2,516.09 / $4,020.25	Professional		$1,385.10	$2,516.09	$4,020.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.34 / $3,177.60 / $3,923.19	Professional		$2,017.34	$3,177.60	$3,923.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,472.53 / $2,811.26 / $4,848.72	Professional		$1,472.53	$2,811.26	$4,848.72
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 $1,821.53 / $2,340.46 / $5,069.76	Professional		$1,821.53	$2,340.46	$5,069.76
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,037.76 / $1,141.54 / $1,452.86	Professional		$1,037.76	$1,141.54	$1,452.86