Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,657.94 / $9,859.00	Facility		$100.00	$3,657.94	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.41 / $1,094.50 / $1,094.50	Professional		$652.41	$1,094.50	$1,094.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $8,883.46 / $15,487.39	Facility		$4,769.10	$8,883.46	$15,487.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.34 / $1,705.99 / $2,721.65	Professional		$946.34	$1,705.99	$2,721.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.48 / $2,141.60 / $2,644.10	Professional		$1,357.48	$2,141.60	$2,644.10
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $996.88 / $1,903.18 / $3,282.50	Professional		$996.88	$1,903.18	$3,282.50
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 $1,251.54 / $1,571.91 / $3,147.59	Professional		$1,251.54	$1,571.91	$3,147.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $739.67 / $883.20 / $1,246.36	Professional		$739.67	$883.20	$1,246.36