Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,994.28 / $9,859.00	Facility		$100.00	$2,994.28	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.67 / $888.19 / $2,994.28	Professional		$827.67	$888.19	$2,994.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $13,932.60 / $24,290.01	Facility		$5,299.00	$13,932.60	$24,290.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.49 / $1,392.71 / $2,052.56	Professional		$918.49	$1,392.71	$2,052.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.83 / $1,745.84 / $2,510.67	Professional		$1,056.83	$1,745.84	$2,510.67
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $928.71 / $1,842.37 / $3,059.26	Professional		$928.71	$1,842.37	$3,059.26
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 $1,121.51 / $1,275.33 / $2,530.17	Professional		$1,121.51	$1,275.33	$2,530.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $653.34 / $718.67 / $914.68	Professional		$653.34	$718.67	$914.68