Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,427.78 / $9,859.00	Facility		$100.00	$5,427.78	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.78 / $1,609.49 / $1,609.49	Professional		$944.78	$1,609.49	$1,609.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $8,883.46 / $15,487.39	Facility		$4,769.10	$8,883.46	$15,487.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,490.28 / $2,682.68 / $4,286.26	Professional		$1,490.28	$2,682.68	$4,286.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,149.90 / $3,386.16 / $4,180.68	Professional		$2,149.90	$3,386.16	$4,180.68
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,569.96 / $2,997.26 / $5,169.53	Professional		$1,569.96	$2,997.26	$5,169.53
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 $1,936.05 / $2,517.46 / $5,453.17	Professional		$1,936.05	$2,517.46	$5,453.17
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,114.70 / $1,226.17 / $1,560.58	Professional		$1,114.70	$1,226.17	$1,560.58