Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,304.28 / $9,859.00	Facility		$100.00	$3,304.28	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.00 / $915.00 / $3,304.28	Professional		$915.00	$915.00	$3,304.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $17,300.00 / $28,708.24	Facility		$8,512.20	$17,300.00	$28,708.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,115.07 / $1,772.78 / $2,731.73	Professional		$1,115.07	$1,772.78	$2,731.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.73 / $2,032.67 / $2,767.25	Professional		$1,224.73	$2,032.67	$2,767.25
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,042.39 / $2,067.89 / $3,433.74	Professional		$1,042.39	$2,067.89	$3,433.74
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 $953.89 / $1,318.96 / $2,578.92	Professional		$953.89	$1,318.96	$2,578.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $736.94 / $810.63 / $1,031.72	Professional		$736.94	$810.63	$1,031.72