Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,331.21 / $21,126.00	Facility		$100.00	$2,331.21	$21,126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.67 / $775.57 / $2,016.10	Professional		$697.67	$775.57	$2,016.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $5,299.00 / $8,600.00	Facility		$4,769.10	$5,299.00	$8,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.09 / $1,250.70 / $1,813.51	Professional		$926.09	$1,250.70	$1,813.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.34 / $1,516.11 / $2,074.71	Professional		$1,130.34	$1,516.11	$2,074.71
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,089.59 / $1,779.38 / $3,524.28	Professional		$1,089.59	$1,779.38	$3,524.28
United Facility/Professional Facility Modifier Low / Median / High Price $11,155.00 / $11,155.00 / $11,155.00	Facility		$11,155.00	$11,155.00	$11,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,030.30 / $1,248.61 / $2,417.73	Professional		$1,030.30	$1,248.61	$2,417.73
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $643.05 / $707.37 / $900.28	Professional		$643.05	$707.37	$900.28