Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,814.27 / $9,859.00	Facility		$100.00	$6,814.27	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.13 / $1,744.65 / $6,814.27	Professional		$1,513.13	$1,744.65	$6,814.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $16,696.31 / $29,108.25	Facility		$5,299.00	$16,696.31	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,320.46 / $3,442.53 / $5,057.33	Professional		$2,320.46	$3,442.53	$5,057.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,444.77 / $4,038.19 / $5,773.82	Professional		$2,444.77	$4,038.19	$5,773.82
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,123.67 / $4,212.93 / $6,995.58	Professional		$2,123.67	$4,212.93	$6,995.58
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,527.82 / $3,373.89 / $6,531.83	Professional		$2,527.82	$3,373.89	$6,531.83
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,517.32 / $1,669.05 / $2,124.25	Professional		$1,517.32	$1,669.05	$2,124.25