Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,512.69 / $9,859.00	Facility		$100.00	$5,512.69	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.72 / $1,337.59 / $5,512.69	Professional		$1,106.72	$1,337.59	$5,512.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,992.79 / $9,992.00 / $19,050.00	Facility		$8,992.79	$9,992.00	$19,050.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,772.68 / $2,618.51 / $3,863.33	Professional		$1,772.68	$2,618.51	$3,863.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,904.01 / $3,172.41 / $4,326.16	Professional		$1,904.01	$3,172.41	$4,326.16
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,622.28 / $3,218.28 / $5,343.95	Professional		$1,622.28	$3,218.28	$5,343.95
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 $1,533.09 / $2,475.52 / $4,991.89	Professional		$1,533.09	$2,475.52	$4,991.89
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,143.35 / $1,257.70 / $1,600.70	Professional		$1,143.35	$1,257.70	$1,600.70