Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,175.32 / $9,859.00	Facility		$100.00	$3,175.32	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.01 / $900.88 / $2,163.09	Professional		$779.01	$900.88	$2,163.09
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 $858.15 / $1,349.87 / $2,328.10	Professional		$858.15	$1,349.87	$2,328.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.97 / $1,559.87 / $2,074.57	Professional		$1,093.97	$1,559.87	$2,074.57
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,080.65 / $1,764.75 / $3,495.32	Professional		$1,080.65	$1,764.75	$3,495.32
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 $1,085.46 / $1,310.97 / $2,629.12	Professional		$1,085.46	$1,310.97	$2,629.12
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $703.50 / $844.20 / $1,332.43	Professional		$703.50	$844.20	$1,332.43