Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,970.51 / $9,859.00	Facility		$100.00	$4,970.51	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.85 / $1,201.94 / $4,970.51	Professional		$1,002.85	$1,201.94	$4,970.51
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 $1,596.62 / $2,369.44 / $3,493.85	Professional		$1,596.62	$2,369.44	$3,493.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.57 / $2,870.28 / $3,911.61	Professional		$1,720.57	$2,870.28	$3,911.61
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,467.13 / $2,910.49 / $4,832.87	Professional		$1,467.13	$2,910.49	$4,832.87
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 $1,779.04 / $2,339.27 / $4,528.81	Professional		$1,779.04	$2,339.27	$4,528.81
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,036.52 / $1,140.17 / $1,451.13	Professional		$1,036.52	$1,140.17	$1,451.13