Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,859.00 / $15,548.80	Facility		$100.00	$9,859.00	$15,548.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,147.06 / $4,617.28 / $5,572.88	Professional		$4,147.06	$4,617.28	$5,572.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,769.10 / $15,307.77 / $29,108.25	Facility		$4,769.10	$15,307.77	$29,108.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,148.43 / $7,441.52 / $11,905.08	Professional		$4,148.43	$7,441.52	$11,905.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,262.23 / $7,798.99 / $12,746.26	Professional		$3,262.23	$7,798.99	$12,746.26
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $4,749.10 / $8,214.99 / $14,658.10	Professional		$4,749.10	$8,214.99	$14,658.10
United Facility/Professional Facility Modifier Low / Median / High Price $451.00 / $3,360.00 / $7,448.00	Facility		$451.00	$3,360.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,014.69 / $6,721.40 / $12,604.06	Professional		$4,014.69	$6,721.40	$12,604.06
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $3,384.56 / $3,723.02 / $4,738.38	Professional		$3,384.56	$3,723.02	$4,738.38