Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,121.88 / $9,859.00	Facility		$100.00	$5,121.88	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.45 / $1,509.48 / $1,509.48	Professional		$1,020.45	$1,509.48	$1,509.48
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 $1,372.04 / $2,476.66 / $3,952.51	Professional		$1,372.04	$2,476.66	$3,952.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,970.84 / $3,108.07 / $3,837.34	Professional		$1,970.84	$3,108.07	$3,837.34
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,447.71 / $2,763.87 / $4,766.99	Professional		$1,447.71	$2,763.87	$4,766.99
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 $1,757.34 / $2,326.96 / $5,040.51	Professional		$1,757.34	$2,326.96	$5,040.51
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,024.45 / $1,126.90 / $1,434.23	Professional		$1,024.45	$1,126.90	$1,434.23