Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,925.96 / $9,859.00	Facility		$100.00	$5,925.96	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.18 / $1,736.70 / $1,736.70	Professional		$1,024.18	$1,736.70	$1,736.70
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 $1,618.78 / $2,914.14 / $4,659.46	Professional		$1,618.78	$2,914.14	$4,659.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,336.50 / $3,677.57 / $4,540.47	Professional		$2,336.50	$3,677.57	$4,540.47
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,706.65 / $3,258.23 / $5,619.64	Professional		$1,706.65	$3,258.23	$5,619.64
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 $2,101.69 / $2,740.16 / $5,935.57	Professional		$2,101.69	$2,740.16	$5,935.57
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,213.04 / $1,334.34 / $1,698.26	Professional		$1,213.04	$1,334.34	$1,698.26