Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,088.33 / $11,351.00	Facility		$100.00	$3,088.33	$11,351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $936.11 / $2,516.57	Professional		$765.90	$936.11	$2,516.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $987.54 / $1,553.39 / $2,679.11	Professional		$987.54	$1,553.39	$2,679.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,481.31 / $2,330.09 / $3,546.28	Professional	50	$1,481.31	$2,330.09	$3,546.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.09 / $1,792.63 / $2,446.14	Professional		$1,278.09	$1,792.63	$2,446.14
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,243.58 / $2,030.83 / $4,022.31	Professional		$1,243.58	$2,030.83	$4,022.31
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 $1,150.34 / $1,338.10 / $2,889.95	Professional		$1,150.34	$1,338.10	$2,889.95
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $776.44 / $906.88 / $1,369.64	Professional		$776.44	$906.88	$1,369.64