Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,568.89 / $9,859.00	Facility		$100.00	$4,568.89	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.33 / $1,350.96 / $4,568.89	Professional		$1,038.33	$1,350.96	$4,568.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,512.20 / $17,300.00 / $28,708.24	Facility		$8,512.20	$17,300.00	$28,708.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,524.02 / $2,495.73 / $3,788.27	Professional		$1,524.02	$2,495.73	$3,788.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,725.75 / $2,869.23 / $4,812.09	Professional		$1,725.75	$2,869.23	$4,812.09
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,464.54 / $2,905.35 / $4,824.34	Professional		$1,464.54	$2,905.35	$4,824.34
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 $1,319.75 / $1,995.19 / $3,874.49	Professional		$1,319.75	$1,995.19	$3,874.49
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,019.49 / $1,121.44 / $1,427.29	Professional		$1,019.49	$1,121.44	$1,427.29