Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,091.18 / $9,859.00	Facility		$100.00	$5,091.18	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.00 / $1,221.58 / $5,091.18	Professional		$947.00	$1,221.58	$5,091.18
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 $1,688.83 / $2,481.66 / $3,656.98	Professional		$1,688.83	$2,481.66	$3,656.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.60 / $2,853.39 / $4,095.44	Professional		$1,733.60	$2,853.39	$4,095.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,535.63 / $3,046.38 / $5,058.52	Professional		$1,535.63	$3,046.38	$5,058.52
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 $1,684.97 / $2,449.06 / $4,741.37	Professional		$1,684.97	$2,449.06	$4,741.37
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,084.82 / $1,193.30 / $1,518.75	Professional		$1,084.82	$1,193.30	$1,518.75