Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,945.79 / $9,859.00	Facility		$100.00	$3,945.79	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.58 / $1,121.58 / $2,788.49	Professional		$1,121.58	$1,121.58	$2,788.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,481.20 / $13,868.00 / $21,869.00	Facility		$12,481.20	$13,868.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.53 / $1,855.43 / $2,961.34	Professional		$1,009.53	$1,855.43	$2,961.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.25 / $2,499.53 / $4,099.00	Professional		$1,500.25	$2,499.53	$4,099.00
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,084.67 / $2,070.79 / $3,571.60	Professional		$1,084.67	$2,070.79	$3,571.60
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 $1,342.74 / $1,721.34 / $5,474.78	Professional		$1,342.74	$1,721.34	$5,474.78
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $768.82 / $845.70 / $1,076.34	Professional		$768.82	$845.70	$1,076.34