Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,611.53 / $9,859.00	Facility		$100.00	$4,611.53	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.57 / $1,642.57 / $4,611.53	Professional		$1,169.57	$1,642.57	$4,611.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,299.00 / $14,347.98 / $25,014.19	Facility		$5,299.00	$14,347.98	$25,014.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.06 / $2,154.28 / $3,252.82	Professional		$1,380.06	$2,154.28	$3,252.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,443.92 / $2,335.92 / $3,729.06	Professional		$1,443.92	$2,335.92	$3,729.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,261.60 / $2,502.78 / $4,155.87	Professional		$1,261.60	$2,502.78	$4,155.87
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 $1,510.00 / $2,001.83 / $3,729.69	Professional		$1,510.00	$2,001.83	$3,729.69
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $891.88 / $981.07 / $1,248.63	Professional		$891.88	$981.07	$1,248.63