Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,919.77 / $9,859.00	Facility		$100.00	$5,919.77	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,493.46 / $2,103.30 / $5,919.77	Professional		$1,493.46	$2,103.30	$5,919.77
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 $1,761.88 / $2,750.07 / $4,153.14	Professional		$1,761.88	$2,750.07	$4,153.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,842.70 / $2,980.80 / $4,761.43	Professional		$1,842.70	$2,980.80	$4,761.43
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $1,610.81 / $3,195.52 / $5,306.17	Professional		$1,610.81	$3,195.52	$5,306.17
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 $1,996.32 / $2,718.07 / $4,768.13	Professional		$1,996.32	$2,718.07	$4,768.13
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $1,139.72 / $1,253.69 / $1,595.61	Professional		$1,139.72	$1,253.69	$1,595.61