Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,547.06 / $9,859.00	Facility		$100.00	$3,547.06	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.86 / $882.24 / $3,547.06	Professional		$701.86	$882.24	$3,547.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.34 / $1,962.90 / $2,894.97	Professional		$1,186.34	$1,962.90	$2,894.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.86 / $2,253.21 / $3,778.94	Professional		$1,351.86	$2,253.21	$3,778.94
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,149.04 / $2,279.46 / $3,785.05	Professional		$1,149.04	$2,279.46	$3,785.05
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 $1,395.42 / $2,005.79 / $2,748.12	Professional		$1,395.42	$2,005.79	$2,748.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $806.87 / $887.56 / $1,129.61	Professional		$806.87	$887.56	$1,129.61