Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,833.25 / $9,859.00	Facility		$100.00	$5,833.25	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.04 / $1,306.52 / $1,576.18	Professional		$1,006.04	$1,306.52	$1,576.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $9,458.00 / $17,400.00	Facility		$8,512.20	$9,458.00	$17,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,589.48 / $2,875.34 / $4,586.64	Professional		$1,589.48	$2,875.34	$4,586.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,297.29 / $3,624.79 / $4,475.31	Professional		$2,297.29	$3,624.79	$4,475.31
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,679.98 / $3,207.31 / $5,531.82	Professional		$1,679.98	$3,207.31	$5,531.82
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 $2,069.65 / $2,690.93 / $5,828.93	Professional		$2,069.65	$2,690.93	$5,828.93
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,191.10 / $1,310.22 / $1,667.55	Professional		$1,191.10	$1,310.22	$1,667.55