Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,248.87 / $9,859.00	Facility		$100.00	$5,248.87	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.27 / $1,264.45 / $5,248.87	Professional		$1,033.27	$1,264.45	$5,248.87
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 $1,664.21 / $2,585.50 / $3,809.54	Professional		$1,664.21	$2,585.50	$3,809.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,822.28 / $2,998.01 / $4,306.18	Professional		$1,822.28	$2,998.01	$4,306.18
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,599.70 / $3,173.48 / $5,269.57	Professional		$1,599.70	$3,173.48	$5,269.57
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 $1,893.58 / $2,257.73 / $4,699.59	Professional		$1,893.58	$2,257.73	$4,699.59
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,074.30 / $1,181.73 / $1,504.02	Professional		$1,074.30	$1,181.73	$1,504.02