Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $9,859.00	Facility		$100.00	$2,331.21	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.63 / $988.47 / $1,664.81	Professional		$813.63	$988.47	$1,664.81
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 $1,032.02 / $1,538.97 / $2,267.79	Professional		$1,032.02	$1,538.97	$2,267.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.10 / $1,953.12 / $2,772.94	Professional		$1,167.10	$1,953.12	$2,772.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,026.09 / $2,035.58 / $3,380.08	Professional		$1,026.09	$2,035.58	$3,380.08
United Facility/Professional Facility Modifier Low / Median / High Price $9,949.00 / $9,949.00 / $9,949.00	Facility		$9,949.00	$9,949.00	$9,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.09 / $1,523.59 / $2,827.68	Professional		$1,234.09	$1,523.59	$2,827.68
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $729.74 / $875.69 / $1,287.26	Professional		$729.74	$875.69	$1,287.26