Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,549.55 / $9,859.00	Facility		$100.00	$3,549.55	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.69 / $1,269.92 / $3,549.55	Professional		$906.69	$1,269.92	$3,549.55
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 $1,061.39 / $1,672.30 / $2,528.16	Professional		$1,061.39	$1,672.30	$2,528.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.16 / $1,812.50 / $2,895.22	Professional		$1,123.16	$1,812.50	$2,895.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $980.55 / $1,945.22 / $3,230.03	Professional		$980.55	$1,945.22	$3,230.03
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 $1,207.14 / $1,748.51 / $5,662.77	Professional		$1,207.14	$1,748.51	$5,662.77
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $690.12 / $759.13 / $966.17	Professional		$690.12	$759.13	$966.17