Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,111.77 / $9,859.00	Facility		$100.00	$3,111.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.53 / $1,316.88 / $1,401.09	Professional		$723.53	$1,316.88	$1,401.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $878.26 / $1,433.22 / $2,223.12	Professional		$878.26	$1,433.22	$2,223.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.37 / $1,641.72 / $2,481.91	Professional		$962.37	$1,641.72	$2,481.91
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $840.58 / $1,667.54 / $2,768.95	Professional		$840.58	$1,667.54	$2,768.95
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,039.25 / $1,311.05 / $2,606.31	Professional		$1,039.25	$1,311.05	$2,606.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $593.88 / $653.27 / $831.43	Professional		$593.88	$653.27	$831.43