Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,725.66 / $9,859.00	Facility		$100.00	$6,725.66	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.97 / $1,940.45 / $1,940.45	Professional		$1,104.97	$1,940.45	$1,940.45
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 $1,747.26 / $3,145.58 / $5,015.47	Professional		$1,747.26	$3,145.58	$5,015.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,498.90 / $3,944.42 / $4,869.93	Professional		$2,498.90	$3,944.42	$4,869.93
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,837.05 / $3,507.19 / $6,049.02	Professional		$1,837.05	$3,507.19	$6,049.02
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 $2,226.21 / $3,169.34 / $6,533.44	Professional		$2,226.21	$3,169.34	$6,533.44
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,304.28 / $1,434.71 / $1,825.99	Professional		$1,304.28	$1,434.71	$1,825.99