Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,951.43 / $9,859.00	Facility		$100.00	$3,951.43	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.91 / $1,144.66 / $1,144.66	Professional		$648.91	$1,144.66	$1,144.66
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 $1,023.65 / $1,845.90 / $2,948.20	Professional		$1,023.65	$1,845.90	$2,948.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,470.99 / $2,318.25 / $2,862.21	Professional		$1,470.99	$2,318.25	$2,862.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,111.80 / $2,155.48 / $3,840.47	Professional		$1,111.80	$2,155.48	$3,840.47
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 $1,312.78 / $1,734.75 / $3,757.72	Professional		$1,312.78	$1,734.75	$3,757.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $764.23 / $840.65 / $1,069.92	Professional		$764.23	$840.65	$1,069.92