Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,757.72 / $9,859.00	Facility		$100.00	$2,757.72	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.28 / $1,034.02 / $2,757.72	Professional		$761.28	$1,034.02	$2,757.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $14,347.98 / $25,014.19	Facility		$5,299.00	$14,347.98	$25,014.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.72 / $1,342.29 / $2,026.93	Professional		$856.72	$1,342.29	$2,026.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.40 / $1,543.22 / $2,465.08	Professional		$901.40	$1,543.22	$2,465.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $786.15 / $1,559.56 / $2,589.66	Professional		$786.15	$1,559.56	$2,589.66
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 $960.57 / $1,293.20 / $2,409.42	Professional		$960.57	$1,293.20	$2,409.42
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $576.53 / $634.17 / $807.14	Professional		$576.53	$634.17	$807.14