Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,382.09 / $9,859.00	Facility		$100.00	$6,382.09	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.86 / $1,949.17 / $1,949.17	Professional		$1,042.86	$1,949.17	$1,949.17
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 $1,648.78 / $2,969.46 / $4,734.31	Professional		$1,648.78	$2,969.46	$4,734.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,359.07 / $3,723.92 / $4,597.70	Professional		$2,359.07	$3,723.92	$4,597.70
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,734.06 / $3,310.56 / $5,709.89	Professional		$1,734.06	$3,310.56	$5,709.89
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 $2,102.32 / $2,510.71 / $6,040.64	Professional		$2,102.32	$2,510.71	$6,040.64
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,230.44 / $1,353.48 / $1,722.62	Professional		$1,230.44	$1,353.48	$1,722.62