Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,310.07 / $9,859.00	Facility		$100.00	$6,310.07	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.72 / $1,510.53 / $1,843.87	Professional		$1,084.72	$1,510.53	$1,843.87
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 $1,728.56 / $3,136.68 / $5,004.34	Professional		$1,728.56	$3,136.68	$5,004.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,508.57 / $3,957.10 / $4,885.60	Professional		$2,508.57	$3,957.10	$4,885.60
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,832.97 / $3,499.40 / $6,035.58	Professional		$1,832.97	$3,499.40	$6,035.58
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 $1,993.83 / $2,720.64 / $6,336.38	Professional		$1,993.83	$2,720.64	$6,336.38
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,295.69 / $1,425.26 / $1,813.97	Professional		$1,295.69	$1,425.26	$1,813.97