Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,630.55 / $9,859.00	Facility		$100.00	$6,630.55	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.67 / $1,595.50 / $6,630.55	Professional		$1,314.67	$1,595.50	$6,630.55
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 $2,147.75 / $3,146.65 / $4,637.57	Professional		$2,147.75	$3,146.65	$4,637.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,197.02 / $3,607.57 / $5,189.54	Professional		$2,197.02	$3,607.57	$5,189.54
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,947.41 / $3,863.27 / $6,414.96	Professional		$1,947.41	$3,863.27	$6,414.96
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 $2,429.25 / $4,080.60 / $6,029.03	Professional		$2,429.25	$4,080.60	$6,029.03
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,378.52 / $1,516.37 / $1,929.93	Professional		$1,378.52	$1,516.37	$1,929.93