Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,332.45 / $9,859.00	Facility		$100.00	$3,332.45	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.20 / $938.00 / $3,332.45	Professional		$889.20	$938.00	$3,332.45
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 $1,002.45 / $1,515.15 / $2,233.42	Professional		$1,002.45	$1,515.15	$2,233.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.17 / $1,899.29 / $2,729.54	Professional		$1,149.17	$1,899.29	$2,729.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,010.55 / $2,004.73 / $3,328.85	Professional		$1,010.55	$2,004.73	$3,328.85
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 $1,211.82 / $1,343.71 / $3,595.44	Professional		$1,211.82	$1,343.71	$3,595.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $712.48 / $783.73 / $997.47	Professional		$712.48	$783.73	$997.47