Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,763.87 / $9,859.00	Facility		$100.00	$5,763.87	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.25 / $1,698.50 / $1,698.50	Professional		$1,007.25	$1,698.50	$1,698.50
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 $1,603.95 / $2,907.78 / $4,643.29	Professional		$1,603.95	$2,907.78	$4,643.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,327.34 / $3,668.29 / $4,529.01	Professional		$2,327.34	$3,668.29	$4,529.01
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,700.73 / $3,246.93 / $5,600.13	Professional		$1,700.73	$3,246.93	$5,600.13
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 $2,097.80 / $2,713.46 / $5,877.74	Professional		$2,097.80	$2,713.46	$5,877.74
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,201.88 / $1,322.07 / $1,682.63	Professional		$1,201.88	$1,322.07	$1,682.63