Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,839.03 / $9,859.00	Facility		$100.00	$4,839.03	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.86 / $1,729.35 / $4,839.03	Professional		$1,239.86	$1,729.35	$4,839.03
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 $1,462.86 / $2,282.09 / $3,447.58	Professional		$1,462.86	$2,282.09	$3,447.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.09 / $2,474.69 / $3,952.98	Professional		$1,530.09	$2,474.69	$3,952.98
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,337.15 / $2,652.64 / $4,404.71	Professional		$1,337.15	$2,652.64	$4,404.71
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 $1,655.69 / $2,396.63 / $4,757.45	Professional		$1,655.69	$2,396.63	$4,757.45
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $945.47 / $1,040.02 / $1,323.66	Professional		$945.47	$1,040.02	$1,323.66