Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,022.41 / $9,859.00	Facility		$100.00	$3,022.41	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.79 / $1,113.31 / $3,022.41	Professional		$797.79	$1,113.31	$3,022.41
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 $939.70 / $1,531.78 / $2,305.71	Professional		$939.70	$1,531.78	$2,305.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.92 / $1,666.21 / $2,661.55	Professional		$1,025.92	$1,666.21	$2,661.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $894.27 / $1,774.05 / $2,945.81	Professional		$894.27	$1,774.05	$2,945.81
United Facility/Professional Facility Modifier Low / Median / High Price $9,565.00 / $9,565.00 / $9,565.00	Facility		$9,565.00	$9,565.00	$9,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.77 / $1,389.49 / $3,181.72	Professional		$1,026.77	$1,389.49	$3,181.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $620.45 / $682.50 / $868.63	Professional		$620.45	$682.50	$868.63