Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,035.91 / $9,859.00	Facility		$100.00	$5,035.91	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.25 / $1,498.18 / $1,498.18	Professional		$824.25	$1,498.18	$1,498.18
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 $1,428.17 / $2,565.05 / $4,101.17	Professional		$1,428.17	$2,565.05	$4,101.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,055.33 / $3,235.34 / $3,994.47	Professional		$2,055.33	$3,235.34	$3,994.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,502.17 / $2,867.85 / $4,946.32	Professional		$1,502.17	$2,867.85	$4,946.32
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 $1,818.79 / $2,416.82 / $5,235.16	Professional		$1,818.79	$2,416.82	$5,235.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,069.44 / $1,176.38 / $1,497.22	Professional		$1,069.44	$1,176.38	$1,497.22