Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,197.35 / $9,859.00	Facility		$100.00	$3,197.35	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.96 / $977.07 / $2,573.27	Professional		$923.96	$977.07	$2,573.27
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 $1,017.94 / $1,601.22 / $2,761.60	Professional		$1,017.94	$1,601.22	$2,761.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.11 / $1,852.93 / $2,487.55	Professional		$1,305.11	$1,852.93	$2,487.55
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,281.85 / $2,093.35 / $4,146.13	Professional		$1,281.85	$2,093.35	$4,146.13
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 $1,099.08 / $1,427.27 / $2,968.31	Professional		$1,099.08	$1,427.27	$2,968.31
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $795.70 / $875.27 / $1,113.98	Professional		$795.70	$875.27	$1,113.98