Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $9,859.00	Facility		$100.00	$100.00	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
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 $912.04 / $912.04 / $912.04	Professional		$912.04	$912.04	$912.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $548.10 / $2,084.19	Professional		$315.00	$548.10	$2,084.19
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,240.17 / $2,460.25 / $4,085.24	Professional		$1,240.17	$2,460.25	$4,085.24
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 $1,153.44 / $1,689.45 / $3,147.69	Professional		$1,153.44	$1,689.45	$3,147.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,750.00 / $3,500.00	Professional		$2,500.00	$2,750.00	$3,500.00