Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,349.75 / $9,859.00	Facility		$100.00	$3,349.75	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.59 / $1,210.70 / $3,349.75	Professional		$875.59	$1,210.70	$3,349.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $9,734.34 / $16,970.79	Facility		$3,669.00	$9,734.34	$16,970.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.32 / $1,599.81 / $2,417.41	Professional		$1,018.32	$1,599.81	$2,417.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.22 / $1,758.80 / $2,769.89	Professional		$1,074.22	$1,758.80	$2,769.89
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $937.60 / $1,860.01 / $3,088.55	Professional		$937.60	$1,860.01	$3,088.55
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 $1,091.15 / $1,671.22 / $3,291.72	Professional		$1,091.15	$1,671.22	$3,291.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $726.00 / $924.00	Professional		$660.00	$726.00	$924.00