Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,350.34 / $9,859.00	Facility		$100.00	$3,350.34	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.22 / $997.57 / $3,350.34	Professional		$925.22	$997.57	$3,350.34
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 $1,114.01 / $1,668.61 / $2,467.48	Professional		$1,114.01	$1,668.61	$2,467.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.20 / $2,080.71 / $3,014.21	Professional		$1,273.20	$2,080.71	$3,014.21
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,116.45 / $2,214.81 / $3,677.70	Professional		$1,116.45	$2,214.81	$3,677.70
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 $1,193.11 / $1,483.58 / $3,972.22	Professional		$1,193.11	$1,483.58	$3,972.22
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $760.67 / $836.74 / $1,064.94	Professional		$760.67	$836.74	$1,064.94