Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,621.21 / $9,859.00	Facility		$100.00	$3,621.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.80 / $1,040.70 / $1,040.70	Professional		$588.80	$1,040.70	$1,040.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.17 / $1,674.21 / $2,673.11	Professional		$925.17	$1,674.21	$2,673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.69 / $2,105.42 / $2,599.44	Professional		$1,335.69	$2,105.42	$2,599.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,008.06 / $1,954.37 / $3,482.12	Professional		$1,008.06	$1,954.37	$3,482.12
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,220.02 / $1,942.65 / $4,974.41	Professional		$1,220.02	$1,942.65	$4,974.41
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $689.92 / $758.91 / $965.89	Professional		$689.92	$758.91	$965.89