Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,124.55 / $9,859.00	Facility		$100.00	$4,124.55	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.94 / $1,213.55 / $1,213.55	Professional		$720.94	$1,213.55	$1,213.55
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 $1,056.83 / $1,903.76 / $3,036.17	Professional		$1,056.83	$1,903.76	$3,036.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.64 / $2,388.66 / $2,949.14	Professional		$1,513.64	$2,388.66	$2,949.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,112.08 / $2,123.12 / $3,661.85	Professional		$1,112.08	$2,123.12	$3,661.85
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 $1,349.95 / $1,791.66 / $3,881.00	Professional		$1,349.95	$1,791.66	$3,881.00
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $788.66 / $867.53 / $1,104.11	Professional		$788.66	$867.53	$1,104.11