Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,572.90 / $9,859.00	Facility		$100.00	$2,572.90	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.88 / $775.37 / $2,572.90	Professional		$705.88	$775.37	$2,572.90
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 $780.91 / $1,195.51 / $1,761.21	Professional		$780.91	$1,195.51	$1,761.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.48 / $1,516.33 / $2,156.71	Professional		$907.48	$1,516.33	$2,156.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $796.89 / $1,580.87 / $2,625.04	Professional		$796.89	$1,580.87	$2,625.04
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 $925.30 / $1,253.44 / $2,835.25	Professional		$925.30	$1,253.44	$2,835.25
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $559.10 / $615.01 / $782.74	Professional		$559.10	$615.01	$782.74