Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,046.18 / $9,859.00	Facility		$100.00	$5,046.18	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.97 / $1,244.56 / $5,046.18	Professional		$1,071.97	$1,244.56	$5,046.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,534.28 / $9,157.56 / $15,965.24	Facility		$3,534.28	$9,157.56	$15,965.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,705.51 / $2,417.44 / $3,850.09	Professional		$1,705.51	$2,417.44	$3,850.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,892.57 / $3,091.23 / $4,074.99	Professional		$1,892.57	$3,091.23	$4,074.99
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,616.73 / $3,207.27 / $5,325.67	Professional		$1,616.73	$3,207.27	$5,325.67
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 $1,588.32 / $2,492.86 / $4,826.16	Professional		$1,588.32	$2,492.86	$4,826.16
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,106.45 / $1,217.09 / $1,549.03	Professional		$1,106.45	$1,217.09	$1,549.03