Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,268.19 / $9,859.00	Facility		$100.00	$3,268.19	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.12 / $923.18 / $923.18	Professional		$707.12	$923.18	$923.18
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 $1,344.87 / $2,487.48 / $3,973.75	Professional		$1,344.87	$2,487.48	$3,973.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,989.42 / $3,133.48 / $3,868.72	Professional		$1,989.42	$3,133.48	$3,868.72
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,498.56 / $2,905.31 / $5,176.42	Professional		$1,498.56	$2,905.31	$5,176.42
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 $1,250.67 / $2,603.67 / $5,176.42	Professional		$1,250.67	$2,603.67	$5,176.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $997.67 / $1,097.44 / $1,396.74	Professional		$997.67	$1,097.44	$1,396.74