Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,800.84 / $9,859.00	Facility		$100.00	$3,800.84	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.07 / $1,370.18 / $3,800.84	Professional		$980.07	$1,370.18	$3,800.84
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 $1,157.16 / $1,792.47 / $2,709.55	Professional		$1,157.16	$1,792.47	$2,709.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.41 / $1,977.46 / $3,158.73	Professional		$1,203.41	$1,977.46	$3,158.73
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,050.91 / $2,084.80 / $3,461.80	Professional		$1,050.91	$2,084.80	$3,461.80
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 $1,251.51 / $2,485.19 / $6,163.75	Professional		$1,251.51	$2,485.19	$6,163.75
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $750.54 / $825.59 / $1,050.76	Professional		$750.54	$825.59	$1,050.76