Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,928.59 / $9,859.00	Facility		$100.00	$4,928.59	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.44 / $1,195.11 / $4,928.59	Professional		$996.44	$1,195.11	$4,928.59
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 $1,597.46 / $2,355.03 / $3,471.79	Professional		$1,597.46	$2,355.03	$3,471.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.28 / $2,701.57 / $3,885.22	Professional		$1,645.28	$2,701.57	$3,885.22
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,457.87 / $2,892.12 / $4,802.37	Professional		$1,457.87	$2,892.12	$4,802.37
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 $1,700.28 / $2,330.87 / $5,185.56	Professional		$1,700.28	$2,330.87	$5,185.56
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,032.10 / $1,135.32 / $1,444.95	Professional		$1,032.10	$1,135.32	$1,444.95