Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,307.24 / $9,859.00	Facility		$100.00	$3,307.24	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.51 / $980.31 / $3,307.24	Professional		$908.51	$980.31	$3,307.24
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 $1,013.49 / $1,531.77 / $2,257.98	Professional		$1,013.49	$1,531.77	$2,257.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.06 / $1,917.35 / $2,760.08	Professional		$1,162.06	$1,917.35	$2,760.08
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,021.66 / $2,026.77 / $3,365.45	Professional		$1,021.66	$2,026.77	$3,365.45
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 $1,164.08 / $1,503.22 / $2,789.88	Professional		$1,164.08	$1,503.22	$2,789.88
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $720.09 / $792.10 / $1,008.13	Professional		$720.09	$792.10	$1,008.13