Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,488.85 / $9,859.00	Facility		$100.00	$5,488.85	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.57 / $1,312.40 / $5,488.85	Professional		$1,191.57	$1,312.40	$5,488.85
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 $1,741.39 / $2,557.28 / $3,770.73	Professional		$1,741.39	$2,557.28	$3,770.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.24 / $2,932.47 / $4,219.76	Professional		$1,787.24	$2,932.47	$4,219.76
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,583.40 / $3,141.15 / $5,215.88	Professional		$1,583.40	$3,141.15	$5,215.88
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 $1,728.44 / $2,864.52 / $5,633.58	Professional		$1,728.44	$2,864.52	$5,633.58
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,118.68 / $1,230.55 / $1,566.15	Professional		$1,118.68	$1,230.55	$1,566.15