Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,818.50 / $9,859.00	Facility		$100.00	$4,818.50	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.55 / $1,712.70 / $4,818.50	Professional		$1,215.55	$1,712.70	$4,818.50
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 $1,434.84 / $2,238.84 / $3,383.63	Professional		$1,434.84	$2,238.84	$3,383.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,501.67 / $2,427.48 / $3,877.58	Professional		$1,501.67	$2,427.48	$3,877.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,312.34 / $2,603.42 / $4,322.97	Professional		$1,312.34	$2,603.42	$4,322.97
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 $1,588.12 / $2,080.67 / $4,022.72	Professional		$1,588.12	$2,080.67	$4,022.72
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $926.90 / $1,019.59 / $1,297.66	Professional		$926.90	$1,019.59	$1,297.66