Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,625.59 / $9,859.00	Facility		$100.00	$3,625.59	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.76 / $1,556.51 / $3,625.59	Professional		$905.76	$1,556.51	$3,625.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,334.70 / $15,674.40 / $29,801.00	Facility		$10,334.70	$15,674.40	$29,801.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.58 / $1,706.64 / $2,647.19	Professional		$1,039.58	$1,706.64	$2,647.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,146.54 / $1,850.17 / $2,955.40	Professional		$1,146.54	$1,850.17	$2,955.40
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,000.92 / $1,985.63 / $3,297.13	Professional		$1,000.92	$1,985.63	$3,297.13
United Facility/Professional Facility Modifier Low / Median / High Price $8,035.00 / $8,035.00 / $8,035.00	Facility		$8,035.00	$8,035.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.59 / $1,516.74 / $3,090.59	Professional		$1,108.59	$1,516.74	$3,090.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $704.54 / $845.45 / $1,242.81	Professional		$704.54	$845.45	$1,242.81