Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,122.58 / $9,859.00	Facility		$100.00	$4,122.58	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.05 / $1,152.35 / $2,045.97	Professional		$1,002.05	$1,152.35	$2,045.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.46 / $1,855.85 / $2,738.38	Professional		$1,246.46	$1,855.85	$2,738.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.29 / $2,392.69 / $3,338.84	Professional		$1,407.29	$2,392.69	$3,338.84
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,239.02 / $2,457.96 / $4,081.46	Professional		$1,239.02	$2,457.96	$4,081.46
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 $1,530.28 / $1,976.22 / $3,411.25	Professional		$1,530.28	$1,976.22	$3,411.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $879.27 / $1,055.11 / $1,665.34	Professional		$879.27	$1,055.11	$1,665.34