Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,305.54 / $9,859.00	Facility		$100.00	$3,305.54	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $919.60 / $975.15 / $3,305.54	Professional		$919.60	$975.15	$3,305.54
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 $1,005.21 / $1,519.02 / $2,239.96	Professional		$1,005.21	$1,519.02	$2,239.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.65 / $1,959.40 / $2,736.75	Professional		$1,152.65	$1,959.40	$2,736.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,013.51 / $2,010.60 / $3,338.60	Professional		$1,013.51	$2,010.60	$3,338.60
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 $1,227.26 / $1,491.75 / $2,768.59	Professional		$1,227.26	$1,491.75	$2,768.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $714.51 / $785.96 / $1,000.31	Professional		$714.51	$785.96	$1,000.31